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stroke

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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

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

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

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 - ...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

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

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

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