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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

Drugs for Conversion of Atrial Fibrillation - American Family Physician

Aug 1, 1998 - Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p471.html

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...

Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0915/p378.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Dual Antiplatelet Therapy Is Superior to Aspirin in Preventing Short-Term Recurrent ... Restricted content. Login required.

Nov 1, 2021 - If the authors have found all the relevant studies, administering dual antiplatelet therapy within 24 hours of a mild to moderate stroke or TIA is more effective than aspirin at decreasing recurrent stroke over the subsequent 90 days. There is a low overall risk of major bleeding, but ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od5.html

Dyslipidemia Management for Cardiovascular Disease Prevention: Guidelines from the ... Restricted content. Login required.

Apr 15, 2021 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and management of dyslipidemia to prevent cardiovascular disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0415/p507.html

Dysphagia: Evaluation and Collaborative Management - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dysphagia is common but may be underreported. Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging. Obstructive symptoms that seem to originate in the throat or neck may actually be caused by distal esophageal lesions. Oropharyngeal ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p97.html

Dyspnea in an Older Patient - Photo Quiz - American Family Physician

Aug 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/2013/0801/p199.html

Early Diagnosis of Dementia - American Family Physician

Feb 15, 2001 - Until recently, the most significant issue facing a family physician regarding the diagnosis and treatment of dementia was ruling out delirium and potentially treatable etiologies. However, as more treatment options become available, it will become increasingly important to diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p703.html

Early Diagnosis of Dementia - American Family Physician

...DSM-IV criteria for the diagnosis of demen- tia require the presence of multiple cognitive deficits in addition to memory impairment6 (Table 1).Early in the disease, memory impair- ment may be the only clinical finding, and this single finding would not meet the diagnostic...

American Family Physician

https://www.aafp.org/afp/2001/0215/afp20010215p703.pdf

Eating Eggs Is Not Associated with Cardiovascular Disease - POEMs - American Family ... Restricted content. Login required.

Jun 1, 2021 - Egg consumption is not associated with the occurrence of cardiovascular events over an average of 12 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0601/p695.html

EBM Toolkit

Get information about developing evidence-based articles, including an EBM glossary, AFP's rating system, and links to additional resources.

American Family Physician : American Family Physician

https://www.aafp.org/journals/afp/authors/ebm-toolkit.html

EBMSeries_PracticeGuidelines.pdf

...of myocardial infarc- tion, but advise him that this medication will increase his risk of having a gastrointestinal bleed or hemorrhagic stroke.10 a guideline can help to estimate relative risks and ben- efits, but deciding what to do will depend on the value the patient places on...

American Family Physician

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

ECG, Echocardiography, or MPI for Cardiac Screening: Guidance from the ACP - Practice ...

Sep 15, 2015 - In the United States, one in three deaths is from cardiovascular disease; coronary heart disease is the leading cause of death. This guideline from the American College of Physicians (ACP) provides recommendations on cardiac screening using these modalities.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0915/p531.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

Edoxaban (Savaysa) for the Prevention of Thromboembolic Events - STEPS - American ...

Apr 15, 2018 - Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0415/p529.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

Jan 15, 2001 - Primary and secondary prevention trials have shown that use of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) to lower an elevated low-density lipoprotein cholesterol level can substantially reduce coronary events and death from coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p309.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

...in major coronary events, of 45 percent in coronary deaths and of 40 percent in stroke. A meta- analysis29 of 16 randomized studies showed that lipid-lowering with statins reduced the relative risk of stroke by 29 percent. The deci- sion to treat LDL elevation in the elderly is...

American Family Physician

https://www.aafp.org/afp/2001/0115/afp20010115p309.pdf

Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...

Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p405.html

Effectiveness of Acamprosate in the Treatment

...abuse is a major health risk world- wide, causing approximately 3 percent of deaths globally and contributing significantly to the risks of stroke, ischemic heart disease, hypertension, diabetes mellitus, and liver cancer, as well as motor vehicle collisions, drownings, and...

American Family Physician

https://www.aafp.org/afp/2011/0301/afp20110301p524.pdf

Effectiveness of Acamprosate in the Treatment

...abuse is a major health risk world- wide, causing approximately 3 percent of deaths globally and contributing significantly to the risks of stroke, ischemic heart disease, hypertension, diabetes mellitus, and liver cancer, as well as motor vehicle collisions, drownings, and...

American Family Physician

https://www.aafp.org/afp/2011/0301/afp20110301p522.pdf

Effectiveness of Acamprosate in the Treatment of Alcohol Dependence - Cochrane for ...

Mar 1, 2011 - When used in conjunction with detoxification and psychosocial interventions for treating alcohol dependence, acamprosate can reduce the risk of any return to drinking and improve cumulative abstinence rates.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0301/p522.html

Effectiveness of B-Complex Vitamins for Prevention of Cardiovascular Events - Cochrane ...

Apr 1, 2010 - Eight randomized clinical trials that included 24,210 patients did not show a reduction in MI, stroke, or all-cause mortality with B-complex vitamin therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0401/p850.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

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

Effects of Omega-3 Fatty Acids on Cardiovascular Health - Editorials - American Family ...

Jul 1, 2004 - ...fatty acid supplement experienced a nearly 15 percent reduced risk of the primary trial outcome (death, nonfatal myocardial infarction, or stroke), while vitamin E had no effect. Interestingly, the benefit occurred rapidly, within three months of randomization8 ; these findings...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0701/p34.html

Effects of Yoga in Patients with Asthma

August 1, 2017: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p159.pdf

Effects of Yoga in Patients with Asthma

August 1, 2017: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p160.pdf

Efficient Approach to the Evaluation of Syncope - Lown Right Care: Reducing Overuse and... Restricted content. Login required.

Sep 1, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2021/0900/p305.html

Efficient Identification of Adults with Depression and Dementia - American Family ...

...41. Patterson CJ, Gass DA. Screening for cognitive impairment and demen- tia in the elderly. Can J Neurol Sci 2001;28(suppl 1):S42-51. 42. Ercoli LM, Siddarth P, Dunkin JJ, Bramen J, Small GW. MMSE items predict cognitive decline in persons with genetic risk for Alzheimer’s...

American Family Physician

https://www.aafp.org/afp/2004/0915/afp20040915p1101.pdf

Electronic Cigarettes for Smoking Cessation - Cochrane for Clinicians - American Family...

Feb 1, 2016 - Electronic cigarettes with nicotine increase smoking cessation rates compared with placebo, with effectiveness similar to that of nicotine patches. In addition, more patients using electronic cigarettes with nicotine were able to halve their use of cigarettes than those using placebo ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0201/p178.html

Emergencies in the Family Medicine Office - American Family Physician

Jun 1, 2007 - ...An office emergency is when someone in the doctor's office needs emergency medical care. For example, a patient may have a stroke, or a child may be brought in with meningitis. What can I expect if I have an emergency in the office? Many medical problems can be treated in the...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2007/0601/p1686.html

Emergency Contraception: Safety and Effectiveness - Cochrane for Clinicians - American ... Restricted content. Login required.

Jun 1, 2020 - Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p651.html

End the Silence -- Make Every Voice Count

In her first In the Trenches blog post, Stephanie Quinn, the AAFP's new senior vice president for advocacy, practice advancement and policy, writes that during a pivotal moment in U.S. history, it is important for family medicine to lead with compassion and strength.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200609itt-race.html

End-of-Life Care: Managing Common Symptoms

March 15, 2017

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315p356.pdf

Endometrial Cancer - American Family Physician

Jun 1, 1999 - Endometrial cancer is the fourth most common cancer in women, accounting for approximately 6,000 deaths per year in the United States. It is more common in women who are older, white, affluent obese and of low parity. Hypertension and diabetes mellitus are also predisposing factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3069.html

Endovascular Therapies Do Not Improve Outcomes in Acute Stroke - POEMs - American ...

Jul 1, 2013 - Endovascular therapies (local delivery of t-PA, extracting the thrombus, or stenting) do not improve outcomes when added to intravenous t-PA alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0701/p61.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

Epidural Corticosteroid Injections for Lumbosacral Radicular Pain - Cochrane for ... Restricted content. Login required.

Apr 1, 2021 - Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0401/p405.html

Erectile Dysfunction

November 15, 2016:

American Family Physician

https://www.aafp.org/afp/2016/1115/afp20161115p820.pdf

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p820.html

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - ...to the nerves and blood vessels in the penis. This allows the penis to fill with blood. Some medical conditions block these signals, such as strokes, spine or pelvic injuries, Parkinson disease, and multiple sclerosis. Nerve damage from diabetes or prostate surgery can also cause...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2016/1115/p820-s1.html

Erectile Dysfunction - American Family Physician

Feb 1, 2010 - ...nerves and blood vessels in the penis. This allows the penis to fill with blood. Some medical conditions may block these signals, including strokes, spinal injuries, pelvic trauma, Parkinson disease, and multiple sclerosis. Prostate or pelvic surgery, and pelvic nerve damage from...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2010/0201/p313.html

Erectile Dysfunction - American Family Physician

Sep 15, 1999 - ...have to be a part of getting older. It's true that as you get older, you may need more stimulation to get an erection. (You may need more stroking and touching to get an erection.) You might also need more time between erections. But the inability to get an erection isn't just a...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1999/0915/p1169.html

Erectile Dysfunction - American Family Physician

Jan 1, 2000 - ...Many conditions can interfere with these signals, causing erectile dysfunction. Damage to the nerves may be caused by stroke or spinal cord injury, or may occur during prostate surgery or other types of surgery. Diabetes and long-term heavy alcohol use can also damage the nerves'...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2000/0101/p109.html

Erectile Dysfunction: What You Should Know - American Family Physician

Nov 1, 2006 - ...As you get older, you may need more stimulation (such as stroking and touching) to get an erection. You also might need more time between erections. Erectile dysfunction doesn’t have to be a part of getting older. What causes erectile dysfunction? High blood sugar levels or blood...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/1101/p1567.html

Essential Tremor - American Family Physician

Oct 15, 2003 - ...Yes. Parkinson's disease causes a tremor that might be noticed when your hands are resting in your lap or at the sides of your body. A stroke can cause a tremor that gets worse when you reach for something. Thyroid problems or low blood sugar can cause a mild tremor. Tremor can be...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1015/p1553.html

Estimating 10-year Mortality Risk - Point-of-Care Guides - American Family Physician

Mar 15, 2007 - Accurate estimates of patient risk or prognosis can be helpful to a primary care physician.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/0315/p885.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

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