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

Jul 1, 2013 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2013/0701/p57.html

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

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

American Family Physician : Practice Guidelines

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

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

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

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

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

Pharmacologic Therapy for Acute Pain - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : POEMs

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

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

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

American Family Physician : POEMs

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

AAFP Joins CDC Campaign Urging Smokers to 'Talk With Your Doctor'

AAFP Joins CDC Campaign Urging Smokers to 'Talk With Your Doctor'

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/aafp_joins_cdc_campaign_urging.html

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

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

American Family Physician : Practice Guidelines

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

Approach to Acute Headache in Adults - American Family Physician

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

American Family Physician : Article

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

Sick Sinus Syndrome: A Review - American Family Physician

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

American Family Physician : Article

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

Screening for Ovarian Cancer: Reaffirmation Recommendation Statement - U.S. Preventive ...

May 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) recommends against screening for ovarian cancer in women.

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

https://www.aafp.org/afp/2013/0515/od1.html

AAFP News - May 15, 2013 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

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

Clinical Management of Urinary Incontinence in Women - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : Cochrane for Clinicians

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

Updated Guidelines on Outpatient Anticoagulation - American Family Physician

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

American Family Physician : Article

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

Diagnosis of Urinary Incontinence - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : Clinical Evidence Handbook

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

Appropriate and Safe Use of Diagnostic Imaging - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : Putting Prevention into Practice

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

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

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

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

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

Diabetic Ketoacidosis: Evaluation and Treatment - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : Article

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

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

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

American Family Physician : Practice Guidelines

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

Spontaneous Hematomas - Photo Quiz - American Family Physician

Mar 1, 2013 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2013/0301/p371.html

Correction - Corrections - American Family Physician

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

American Family Physician : Corrections

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

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

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

American Family Physician : POEMs

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

Parkinson Disease: An Update - American Family Physician

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

American Family Physician : Article

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

Parkinson Disease: What You Should Know - American Family Physician

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

American Family Physician : Patient Handout

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

Guillain-Barre Syndrome - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : Editorials: Controversies in Family Medicine

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

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

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

American Family Physician : Editorials: Controversies in Family Medicine

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

Coming Home -- FPM

Feb 1, 2013 - Even patients with specialized conditions such as sickle cell disease need primary care physicians.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2013/0100/p6.html

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Health Maintenance in Women - American Family Physician

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

American Family Physician : Article

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

Technology Brings New Meaning to Being There for Patient

Technology Brings New Meaning to Being There for Patient

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/technology_brings_new_meaning_to.html

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

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

American Family Physician : FPIN's Clinical Inquiries

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

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

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

American Family Physician : Practice Guidelines

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

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

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

American Family Physician : Editorials: Controversies in Family Medicine

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

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

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

American Family Physician : Cochrane for Clinicians

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

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

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

American Family Physician : Cochrane for Clinicians

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

Letters - Nov-Dec 2012 -- FPM

Dec 1, 2012 - ...due to an increase in gastrointestinal hemorrhage and by women ages 55 to 64 years when the potential benefit due to a reduction in ischemic stroke outweighs the potential harm due to an increase in gastrointestinal hemorrhage. The corrected algorithm, includes A- and B-rated...

Family Practice Management : Letters

https://www.aafp.org/fpm/2012/1100/p6c.html

AAFP News - Dec 1, 2012 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

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

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

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

American Family Physician : Article

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

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

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

American Family Physician : Article

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

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

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

American Family Physician : Practice Guidelines

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

Correction - Corrections - American Family Physician

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

American Family Physician : Corrections

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

Poems & Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Poems & Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

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