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stroke

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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

Cardiac Risk Assessment -- FPM

Oct 1, 2014 - The Cardiac Risk Assist app allows health care professionals to calculate 10-year and lifetime risks for atherosclerotic cardiovascular (CV) disease.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2014/0900/p32.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 - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Approximately 19 million students attend college in the United States. Although they are generally healthy, about 20% of youth have special health care needs, including asthma, diabetes mellitus, and learning, mental health, and substance use disorders. Physicians can facilitate the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p141.html

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 Data Show U.S. Life Expectancy Continues to Decline

A series of data briefs from the CDC shows that life expectancy in the United States dropped for the second time in three years, with deaths from drug overdose and suicide largely responsible for the decline.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20181210lifeexpectdrop.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 Says Obesity Higher in Rural Versus Urban Counties

Research reported in the June 15 Morbidity and Mortality Weekly Report found the prevalence of obesity was higher among U.S. adults living in nonmetropolitan counties than among those in metropolitan counties.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180622mmwr-obesity.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

CDC: Preventing ACEs May Mitigate Chronic Health Issues

At least five of the 10 leading causes of death are associated with adverse childhood experiences, according to a recent Morbidity and Mortality Weekly Report and an accompanying Vital Signs report from the CDC.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191113mmwraces.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

Cheng.pdf

...requires imaging and extensive laboratory testing. • Acute complications of COVID-19 include pneumonia, acute respiratory distress syndrome, stroke, and arterial and venous thrombosis. Hospitalized patients may have debil- ity 66 and mental health effects.67 Factors that may...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/Cheng.pdf

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

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