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Tourette's Syndrome - American Family Physician

Mar 1, 2008 - Tourette's syndrome is a movement disorder most commonly seen in school-age children. The incidence peaks around preadolescence with one half of cases resolving in early adulthood. Tourette's syndrome is the most common cause of tics, which are involuntary or semivoluntary, sudden, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0301/p651.html

Fluticasone or Salmeterol Alone vs. Combination Therapy for COPD - AFP Journal Club - ...

Mar 1, 2008 - Is fluticasone plus salmeterol better than fluticasone or salmeterol alone for treating patients with COPD? Anticholinergics are the bronchodilators of choice. Neither fluticasone nor the combination of fluticasone and salmeterol were no better than placebo at preventing mortality.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0301/p586.html

Lessons from Torcetrapib: Putting Patient-Oriented Evidence First - Editorials - ...

Mar 1, 2008 - ...work is because biology is generally nonlinear. For example, a blood pressure of 110/65 mm Hg does not significantly increase the risk of stroke compared with a blood pressure of 100/55 mm Hg. However, an increase from 140/95 to 150/105 mm Hg increases the risk substantially. On the...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0301/p597.html

Tips From Other Journals - American Family Physician

Mar 1, 2008 - ...Aspirin Trial (5,139 male physicians) and the United Kingdom Transient Ischaemic Attack (UK-TIA) Aspirin Trial (2,449 patients after transient ischemic attack or minor ischemic stroke). These patients were followed regularly and their medical records were tagged to identify the...

American Family Physician : Tip

https://www.aafp.org/afp/2008/0301/p685.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

Preventive Medicine: Giving Patients the Hard Sell -- FPM

Jan 1, 2008 - Your patients will be better off if you take a more active approach and consistently advocate for prevention.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/0100/p22.html

Premenstrual Syndrome - Clinical Evidence Handbook - American Family Physician

Jan 1, 2008 - What are the effects of drug and hormonal treatments in women with premenstrual syndrome (PMS)? What are the effects of psychological interventions, physical therapy, dietary supplements and surgical treatments in women with PMS?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0101/p82.html

Tips From Other Journals - American Family Physician

Jan 1, 2008 - ...under-represented in clinical trials. Excessively lowering blood pressure in this population could result in complications such as falls, strokes, mental confusion, or depression. Population-based studies have suggested that higher blood pressure is associated with improved survival...

American Family Physician : Tip

https://www.aafp.org/afp/2008/0101/p94.html

Drug Dosing in Older Patients with Chronic Kidney Disease - Letters to the Editor - ...

Dec 15, 2007 - ...Next: Enoxaparin Preferred Following Acute Ischemic Stroke View the full table of contents >> Home / Journals / afp / Vol. 76/No. 12(December 15, 2007) / Drug Dosing in Older Patients with Chronic Kidney Disease...

American Family Physician : Letter

https://www.aafp.org/afp/2007/1215/p1766.html

Reflecting on the Past Year, Looking Forward to the Next - Inside AFP - American Family...

Dec 15, 2007 - ...17 articles related to the AAFP 2007 Annual Clinical Focus (ACF) on the management of chronic illness. The topics ranged from ischemic stroke, hypertriglyceridemia, diabetes, and ulcerative colitis to schizophrenia. In 2008, watch for articles related to the 2008 ACF program on...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2007/1215/p1750.html

Coping with the Pain - Close-ups - American Family Physician

Dec 15, 2007 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2007/1215/p1757.html

Tips From Other Journals - American Family Physician

Dec 15, 2007 - ...Acute Ischemic Stroke Am Fam Physician. 2007 Dec 15;76(12):1859-1864. Background: More than 700,000 strokes occur in American adults every year, and 88 percent of those strokes are ischemic. Venous thromboembolism is a common and serious complication of ischemic stroke and is a...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1215/p1859.html

Aspirin Combined with Clopidogrel (Plavix) Decreases Cardiovascular Events in Patients ...

Dec 1, 2007 - A combination of aspirin and clopidogrel decreased cardiovascular events in patients at high risk of cardiovascular disease and in those with acute coronary syndrome. However, the risk of major bleeding events outweighed the benefits in all high-risk patients except those with acute ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1201/p1643.html

Are Beta Blockers Effective First-line Treatments for Hypertension? - Cochrane for ...

Nov 1, 2007 - Current evidence does not support the use of beta blockers as initial therapy for hypertension.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1101/p1306.html

Effectiveness of Insulin Sensitizing Drugs for Polycystic Ovary Syndrome - Cochrane for...

Nov 1, 2007 - Insulin sensitizing drugs are more effective than oral contraceptives alone at improving fasting insulin levels in patients with PCOS. Compared with metformin (Glucophage) alone, oral contraceptives alone better control irregular menstrual cycles and reduce androgen levels. There is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1101/p1308.html

Tips From Other Journals - American Family Physician

Nov 1, 2007 - ...death certificates and medical records. The main outcome measure was all-cause deaths. In addition, deaths from cardiovascular disease; stroke; or lung, breast, and colorectal cancers were analyzed. Deaths were compared with a control group made up of participants who were alive at...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1101/p1376.html

Methamphetamine Abuse - American Family Physician

Oct 15, 2007 - Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1169.html

Tips From Other Journals - American Family Physician

Oct 15, 2007 - ...examined the relationship between alcohol consumption and the incidence of nonfatal myocardial infarction (MI), cardiac death, and stroke in men with hypertension. The Study: This prospective study followed a cohort of 11,711 male health professionals with hypertension in the United...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1015/p1208.html

Meth Abuse: What You Should Know - American Family Physician

Oct 15, 2007 - ...use meth they feel excited and have a lot of energy. This feeling lasts about six to 24 hours. However, using meth can cause a heart attack, stroke, high body temperature, or seizures. Using meth while you are pregnant can harm your child or cause you to go into labor early. What...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2007/1015/p1175.html

Bell's Palsy: Diagnosis and Management - American Family Physician

Oct 1, 2007 - Bell's palsy is a peripheral palsy of the facial nerve that results in muscle weakness on one side of the face. Affected patients develop unilateral facial paralysis over one to three days with forehead involvement and no other neurologic abnormalities. Symptoms typically peak in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1001/p997.html

Does Pioglitazone Benefit Patients With Type 2 Diabetes? - Cochrane for Clinicians - ...

Oct 1, 2007 - Pioglitazone produces a reduction in A1C levels similar to that produced by other drugs. One trial found that although pioglitazone, used as an adjunct to other antihyperglycemic medications, may lead to a statistically significant reduction in morbidity and mortality in patients with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1001/p969.html

Virtual Office Visits: A Reachable and Reimbursable Innovation -- FPM

Oct 1, 2007 - They're convenient, they're efficient, and for a growing number of physicians, they pay.

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/1000/p20.html

Tips From Other Journals - American Family Physician

Oct 1, 2007 - ...history and complete neurologic and cognitive testing that used the National Institute of Neurological and Communicative Disorders and Stroke–Alzheimer Disease and Related Disorders Association criteria. Loneliness was assessed by a five-item questionnaire modified from an...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1001/p1033.html

Ocular Emergencies - American Family Physician

Sep 15, 2007 - Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p829.html

Practice Guidelines - Sep 15, 2007 - American Family Physician

Sep 15, 2007 - Physicians should consider the increased risks associated with the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and cyclooxygenase-2 (COX-2) inhibitors, according to new guidelines issued by the American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0915/p894a.html

Tips From Other Journals - American Family Physician

Sep 15, 2007 - ...the Risk of Stroke After Transient Ischemic Attack Am Fam Physician. 2007 Sep 15;76(6):865-866. Background: Nearly 240,000 U.S. adults are diagnosed every year with transient ischemic attack (TIA). Four to 20 percent of these patients experience a stroke within the following 90...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0915/p865.html

Tips From Other Journals - American Family Physician

Sep 15, 2007 - ...from each study regarding the outcomes of anginal recurrence, myocardial infarction (MI) within 30 days of procedure, MI during follow-up, stroke, mortality from any cause, revascularization procedure, and any other major adverse cerebral or coronary event. Results: The 12 studies...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0915/p871.html

Atrial Fibrillation (Chronic) - Clinical Evidence Handbook - American Family Physician

Sep 1, 2007 - What are the effects of oral medical treatments to control heart rate in persons with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for persons with persistent nonvalvular atrial fibrillation?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0901/p701.html

Tips From Other Journals - American Family Physician

Sep 1, 2007 - ...Fracture risk increases with age and lower BMD; however, white race, female sex, previous fractures, stroke, and deconditioning or weakness also increase fracture risk. Alcohol consumption of one or two drinks daily may decrease the risk, but consumption of greater amounts increases...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0901/p711.html

Treatment Options for Insomnia - American Family Physician

Aug 15, 2007 - The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. Physicians may initiate treatment of insomnia at an initial visit; for patients with a clear acute stressor such as grief, no ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0815/p517.html

Tips From Other Journals - American Family Physician

Aug 15, 2007 - ...of Stroke Am Fam Physician. 2007 Aug 15;76(4):579. Background: The ideal imaging tool for acute stroke should detect all forms of stroke and provide accurate and immediate results. Computed tomography (CT) is the modality most commonly used in the initial evaluation of acute...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0815/p579.html

Prevention of Recurrent Ischemic Stroke - American Family Physician

Aug 1, 2007 - Recurrent ischemic stroke and transient ischemic attack are common problems in primary care, with stroke survivors averaging 10 outpatient visits per year. Risk factors such as hypertension, diabetes, and hypercholesterolemia should be evaluated during each office visit. Attention ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p382.html

The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse ...

Aug 1, 2007 - Cytochrome P450 enzymes are essential for the metabolism of many medications. Although this class has more than 50 enzymes, six of them metabolize 90 percent of drugs, with the two most significant enzymes being CYP3A4 and CYP2D6. Genetic variability (polymorphism) in these enzymes may ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p391.html

Preventing Another Stroke: What You Should Know - American Family Physician

Aug 1, 2007 - ...Preventing Another Stroke: What You Should Know Am Fam Physician. 2007 Aug 1;76(3):389. See related article on stroke. What is a stroke? A stroke happens when an area of the brain is damaged, this usually happens when blood does not reach certain parts of the brain. You can lose...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2007/0801/p389.html

Quantum Sufficit - Aug 1, 2007 - American Family Physician

Aug 1, 2007 - ...those who were bereaved were at a higher risk of dying from any cause. In addition to the small influence of individual risk factors (e.g., stroke, coronary heart disease), the authors note that bereavement does affect mortality risk, and they recommend that physicians provide extra...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2007/0801/p333.html

Importance of Influenza Vaccination for Children - Letters to the Editor - American ...

Aug 1, 2007 - ...Previous: Preventing Another Stroke: What You Should Know Next: Comparing the Safety of COX-2 Inhibitors and NSAIDs View the full table of contents >> Home / Journals / afp / Vol. 76/No. 3(August 1, 2007) / Importance of Influenza Vaccination for Children...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0801/p343.html

Antiretroviral Prophylaxis for Occupational Exposure to HIV - Cochrane for Clinicians -...

Aug 1, 2007 - The literature shows that acarbose can reduce the risk of type 2 diabetes in patients with impaired glucose tolerance or impaired fasting glucose. However, it is unclear whether the drug stops or delays the development of the disease or masks the diagnosis. There is no evidence that ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0801/p375.html

Angiotensin Blockade in Patients with Diabetic Nephropathy - FPIN's Clinical Inquiries ...

Aug 1, 2007 - When used to delay the progression of early nephropathy in patients with type 2 diabetes mellitus, angiotensin receptor blockers (ARBs) are not superior to angiotensin-converting enzyme (ACE) inhibitors.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0801/p423.html

AGA Releases Position Statement on CT Colonography - Practice Guidelines - American ...

Aug 1, 2007 - Although computed tomographic (CT) colonography is considered investigational for colorectal screening, the American Gastroenterological Association (AGA) suggests that it could significantly influence patient care and how the field of gastroenterology is defined.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p447.html

Tips From Other Journals - American Family Physician

Aug 1, 2007 - ...the first of several selected cardiovascular events including myocardial infarction, unstable angina pectoris, cardiac arrest, stroke, transient ischemic attack, pulmonary embolism, arterial or venous thrombosis, or sudden death. Other end points included gastrointestinal adverse...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0801/p431.html

NAMS Releases Updated Position Statement on the Use of Estrogen and Progestogen in ...

Jul 15, 2007 - The North American Menopause Society (NAMS) has released an updated position statement on the use of estrogen therapy (ET) and combined estrogen-progestogen therapy (EPT) in perimenopausal and postmenopausal women, based on the latest evidence on the risks and benefits associated with ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0715/p295.html

Routine Aspirin or Nonsteroidal Anti-inflammatory Drugs for the Primary Prevention of ...

Jul 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on routine aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) for the primary prevention of colorectal cancer and the supporting scientific evidence.

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

https://www.aafp.org/afp/2007/0701/p109.html

Exercise for Older Patients Who Are Acutely Hospitalized - Cochrane for Clinicians - ...

Jul 1, 2007 - The effects of exercise interventions on functional outcomes are unclear, but there is a trend toward functional improvement. Multidisciplinary interventions that include exercise also show several other benefits, including reduction in length of hospitalization and hospital costs; ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0701/p69.html

Tips From Other Journals - American Family Physician

Jul 1, 2007 - ...identified 12 randomized trials that studied the impact of folic acid supplementation in patients with CVD using coronary heart disease, stroke, and all-cause mortality as end points. The studies were conducted in multiple countries and included men and women taking folic acid...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0701/p128a.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

Tips From Other Journals - American Family Physician

Jun 15, 2007 - ...Stroke Symptoms in Patients Without Previous Stroke or TIA Am Fam Physician. 2007 Jun 15;75(12):1858-1860. Background: Undiagnosed stroke occurs in a significant number of persons. Despite multiple attempts to educate the public about stroke symptoms, only 17.2 percent of more...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0615/p1858.html

Occupational Therapy Improves Activities of Daily Living After Stroke - Cochrane for ...

Jun 1, 2007 - Compared with standard rehabilitation, ADL-based occupational therapy significantly decreases death or institutionalization and deterioration in the ability to perform ADL after stroke. The optimal length and type of therapy is not well defined.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0601/p1651.html

Medical Emergency Preparedness in Office Practice - American Family Physician

Jun 1, 2007 - Most primary care physicians report at least one emergency presenting to their office per year. Asthma, anaphylaxis, shock, seizures, and cardiac arrest are among the most common adult and childhood emergencies in the office setting. Most offices are not fully prepared for these medical...

American Family Physician : Article

https://www.aafp.org/afp/2007/0601/p1679.html

Fecal Occult Blood Tests Reduce Colorectal Cancer Mortality - Cochrane for Clinicians -...

Jun 1, 2007 - Fecal occult blood testing reduces colorectal cancer mortality by 16 percent. Annual testing and rehydration of samples increases testing sensitivity but also increases the number of false-positive results.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0601/p1652.html

Use of Patient Registries in U.S. Primary Care Practices - Graham Center Policy ...

Jun 1, 2007 - Patient registries are necessary for high-quality health care, but even in innovative practices, their presence and utilization is inadequate. Registry uptake in primary care may be enhanced by improving the functionality of electronic health records (EHRs) and implementing payment ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0601/p1629.html

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