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afp20161101p692.pdf

November 1, 2016: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2016/1101/afp20161101p692.pdf

afp20161115p820-s1.pdf

...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

https://www.aafp.org/afp/2016/1115/afp20161115p820-s1.pdf

afp20161201p880.pdf

December 1, 2016: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2016/1201/afp20161201p880.pdf

afp20161201p881.pdf

December 1, 2016: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2016/1201/afp20161201p881.pdf

afp20161215p972-s1.pdf

...National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/autism/detail_ autism.htm National Library of Medicine https://medlineplus.gov/autismspectrumdisorder.html December 2016 Autism Spectrum Disorder (continued) Notes: _GoBack...

American Family Physician

https://www.aafp.org/afp/2016/1215/afp20161215p972-s1.pdf

afp20170215p222.pdf

February 15, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/0215/afp20170215p222.pdf

afp20170301p303-s1.pdf

...National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/syncope/ syncope.htm National Library of Medicine https://www.nlm.nih.gov/medlineplus/fainting.html March 2017...

American Family Physician

https://www.aafp.org/afp/2017/0301/afp20170301p303-s1.pdf

afp20170301p324.pdf

February 15, 2017: AHRQ

American Family Physician

https://www.aafp.org/afp/2017/0301/afp20170301p324.pdf

afp20170315od1.pdf

...time, intensive glucose lowering did not increase or decrease the primary composite outcome of nonfatal myocardial infarction, nonfatal stroke, CV death, death from any other cause, or overall mortality. The increased CV mortality rate seen with intensive control during the active...

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315od1.pdf

afp20170315od2.pdf

...time, intensive glucose lowering did not increase or decrease the primary composite outcome of nonfatal myocardial infarction, nonfatal stroke, CV death, death from any other cause, or overall mortality. The increased CV mortality rate seen with intensive control during the active...

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315od2.pdf

afp20170315od3.pdf

...time, intensive glucose lowering did not increase or decrease the primary composite outcome of nonfatal myocardial infarction, nonfatal stroke, CV death, death from any other cause, or overall mortality. The increased CV mortality rate seen with intensive control during the active...

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315od3.pdf

afp20170315p396.pdf

...Bottom Line Semaglutide significantly reduced the composite out- come of CV death, nonfatal myocardial infarction, and nonfatal stroke (number needed to treat [NNT] = 43 over 2.1 years). It was generally well tolerated, and it reduced body weight by approximately 6.4 to 9.5 lb (2.9...

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315p396.pdf

afp20170401p455.pdf

...a recent myocardial infarction, 17% had a previous PCI, and 16% had renal insuffi- ciency. The primary end point was a composite of death, stroke, or myocardial infarction at three years. Groups were similar at the start of the study, and analysis was by intention to treat. This...

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p455.pdf

afp20170401p455a.pdf

...a recent myocardial infarction, 17% had a previous PCI, and 16% had renal insuffi- ciency. The primary end point was a composite of death, stroke, or myocardial infarction at three years. Groups were similar at the start of the study, and analysis was by intention to treat. This...

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p455a.pdf

afp20170401p456.pdf

...a recent myocardial infarction, 17% had a previous PCI, and 16% had renal insuffi- ciency. The primary end point was a composite of death, stroke, or myocardial infarction at three years. Groups were similar at the start of the study, and analysis was by intention to treat. This...

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p456.pdf

afp20170501p580.pdf

February 15, 2017: Point-of-Care Guides

American Family Physician

https://www.aafp.org/afp/2017/0501/afp20170501p580.pdf

afp20170601p700.pdf

June 1, 2017: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2017/0601/afp20170601p700.pdf

afp20170715p128.pdf

...it does not affect all-cause mortality rates. It also does not lower the risk of cardiovascular mortality, nonfatal myocar- dial infarction, stroke, or the need for revascularization. There was no significant heterogeneity among trials. Even studies that specifically enrolled...

American Family Physician

https://www.aafp.org/afp/2017/0715/afp20170715p128.pdf

afp20170715p128a.pdf

...it does not affect all-cause mortality rates. It also does not lower the risk of cardiovascular mortality, nonfatal myocar- dial infarction, stroke, or the need for revascularization. There was no significant heterogeneity among trials. Even studies that specifically enrolled...

American Family Physician

https://www.aafp.org/afp/2017/0715/afp20170715p128a.pdf

afp20170715p129.pdf

...it does not affect all-cause mortality rates. It also does not lower the risk of cardiovascular mortality, nonfatal myocar- dial infarction, stroke, or the need for revascularization. There was no significant heterogeneity among trials. Even studies that specifically enrolled...

American Family Physician

https://www.aafp.org/afp/2017/0715/afp20170715p129.pdf

afp20170801p161-s1.pdf

...What can I do to prevent heart problems? People with HIV infection are at higher risk of heart disease and stroke. You have an even higher risk if you smoke, have high cholesterol, high blood pressure, or diabetes, or if heart attacks run in your family. You can lower your risk by...

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p161-s1.pdf

afp20170801p179-s1.pdf

...vaginal bleeding, problems passing urine or stool, or any change in your ability to take care of the pessary (for instance, if you have a stroke or arthritis). What are Kegel exercises? Kegels (KEE-guls) are exercises that strengthen the muscles of the pelvis. To do a Kegel, you...

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p179-s1.pdf

afp20171001p428.pdf

October 1, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/1001/afp20171001p428.pdf

afp20171001p470.pdf

...statin therapy for slightly more than two years will prevent one myocardial infarction (MI) for every 83 persons treated and prevent one stroke for every 250 persons treated. At the current cost of the drug in the United States, that amounts to approximately $2.5 mil- lion per...

American Family Physician

https://www.aafp.org/afp/2017/1001/afp20171001p470.pdf

afp20171115p668.pdf

November 1, 2017: AHRQ

American Family Physician

https://www.aafp.org/afp/2017/1115/afp20171115p668.pdf

afp20171215p776.pdf

...3. Townsend RR. Stroke in chronic kidney disease: prevention and man- agement. Clin J Am Soc Nephrol. 2008; 3(suppl 1): S11-S16. 4. Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney dis- ease and the risks of death, cardiovascular events, and hospitalization...

American Family Physician

https://www.aafp.org/afp/2017/1215/afp20171215p776.pdf

afp20180101p29.pdf

...heart failure, depression, emphysema, falls, hypertension, incontinence, stage 3 or worse chronic kidney disease, myocardial infarction, and stroke. A total of at least 3 conditions is considered multiple, but many patients may have 5 or more. ‡-The presence of a single end-stage...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p29.pdf

afp20180201od1.pdf

...Efficacy End Points: Reduction in incidence of mortality, stroke, coronary heart disease, or total cardiovascular disease Harm End Points: Mortality, stroke, coronary heart disease, cardiovascular events, or nonadherence due to adverse effects Narrative: Hypertension is one of...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201od1.pdf

afp20180201p180.pdf

...as a disabling, low-frequency, slow-intention, or postural tremor, and is typically caused by mul- tiple sclerosis with cerebellar plaques, stroke, or brainstem tumors. Most patients have other neu- rologic signs of cerebellar dysfunction, including dysmetria (overshoot on...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201p180.pdf

afp20180215p243.pdf

...Cause of stroke; can be spontaneous or follow minor trauma or sudden neck movement; unilateral headache or face pain; ipsilateral Horner syndrome Cervical spondylosis Worse with neck movement; posterior distribution; pain is neuralgic in character and sometimes referred to vertex...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p243.pdf

afp20180315p372.pdf

...composite major CVD events (6.2% vs. 7.3%; relative risk = 0.84; num- ber needed to treat = 91) and the combination of fatal and nonfatal stroke (2.4% vs. 2.9%; relative risk = 0.82; number needed to treat = 200) were significantly decreased when the lower cutoff was used. On the...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p372.pdf

afp20180315p376.pdf

...25% of men and 16% of women 60 to 79 years of age have diagnosed or undiagnosed CAD, or a cardiovascular disease (CVD) equivalent such as stroke or peripheral arterial disease.3 CAD is one of the leading causes of mortality in the United States, accounting for 31% of all deaths in...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p376.pdf

afp20180315p398.pdf

...accounts for 10% of cases, but it commonly presents as a mixed dementia with Alzheimer disease. Lewy body dementia, Parkinson-related demen- tia, normal-pressure hydrocephalus, and frontotemporal dementia represent most of the remaining cases. Fronto- temporal dementia, while...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p398.pdf

afp20180315p413.pdf

...Acute ischemic stroke < 185/110 before adminis- tration of intravenous tissue plasminogen activator; < 180/105 for at least 24 hours after initiating drug therapy Chronic kidney disease < 130/80 Diabetes mellitus < 130/80 Heart failure With preserved ejec- tion fraction...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p413.pdf

afp20180401p436.pdf

...Evidence-Based Answer Prescription niacin (nicotinic acid, vitamin B3) does not reduce myocardial infarctions, strokes, or overall mortality when used for primary or secondary prevention.1 (Strength of Recommen- dation: A, based on consistent, good-quality patient-oriented...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p436.pdf

afp20180401p437.pdf

...Evidence-Based Answer Prescription niacin (nicotinic acid, vitamin B3) does not reduce myocardial infarctions, strokes, or overall mortality when used for primary or secondary prevention.1 (Strength of Recommen- dation: A, based on consistent, good-quality patient-oriented...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p437.pdf

afp20180415od1.pdf

...is expected to live another 30 years. The prevalence and incidence of most chronic con- ditions, such as coronary heart disease, dementia, stroke, fractures, and breast cancer, increase with age; however, the excess risk for these conditions that can be attributed to menopause alone...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415od1.pdf

afp20180415p496.pdf

...(anti- factor Xa activity) data.2,3 The dosing the authors list in Table 1 is most similar to dosing guidelines for reduction of the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. However, that recommendation requires an adjustment to the...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p496.pdf

afp20180415p497.pdf

...(anti- factor Xa activity) data.2,3 The dosing the authors list in Table 1 is most similar to dosing guidelines for reduction of the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. However, that recommendation requires an adjustment to the...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p497.pdf

afp20180415p529.pdf

...Edoxaban (Savaysa) is a once-daily, oral anticoagulant used to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. It is also labeled for the treatment of deep venous thrombosis and pulmonary embolism fol- lowing initial parenteral...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p529.pdf

afp20180415p533.pdf

...Oxygen Supplementation After Acute Stroke Does Not Improve Functional Outcomes Clinical Question Does routine low-dose oxygen therapy following an acute stroke improve functional outcomes? Bottom Line For nonhypoxic patients with acute stroke, rou- tine oxygen therapy for 72...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p533.pdf

afp20180415p541.pdf

...Although estrogen alone has no net benefit in postmenopausal women who have had a hyster- ectomy, one potential benefit is a reduced risk of stroke. Answers 1. The correct answers are A, B, and C. Although the use of combined estrogen and progestin hormone therapy in...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p541.pdf

afp20180501p562.pdf

...Health; Council on Epidemiology and Prevention; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology. Omega-3 polyunsaturated fatty acid (fish oil) supplementation and the prevention of clinical cardiovas- cular...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p562.pdf

afp20180501p594.pdf

...34. National Institute of Neurological Disorders and Stroke. Peripheral neu- ropathy fact sheet. What causes peripheral neuropathy? https://www. ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/ Peripheral-Neuropathy-Fact-Sheet#3208_4. Accessed April 18, 2017. 35....

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p594.pdf

afp20180515p642.pdf

...repeated in a variety of environments. Although they may differ based on the child, common reinforcers include praise, a smile, a hug, a stroke of the hair, or a gentle pat on the head or shoulder. Parents may also be encouraged to use more tangible reinforcers such as snacks, or...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p642.pdf

afp20180515p649.pdf

...keeping is critical because patients and supporters may not be able to provide a detailed medical history. Some conditions, such as demen- tia, may be more difficult to diagnose in the future without this baseline information. Systematically comparing cur- rent with past function is...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p649.pdf

afp20180515p658.pdf

...RCTs recom- mended against aspirin use in the average-risk population because of the risk of gastrointestinal bleeding and hem- orrhagic stroke.28 Individuals 50 to 59 years of age with a 10-year cardiovascular event risk of at least 10% who are willing to take aspirin for at least...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p658.pdf

afp20180601p706.pdf

...Commentary Depression affects about one-third of stroke survivors, according to the American Stroke Association. Emergence of depression following cerebrovascular disease is thought to be caused by an interplay of the psychological reaction to new functional deficits and acute brain...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p706.pdf

afp20180601p721.pdf

...22. Hu D, Huang J, Wang Y, Zhang D, Qu Y. Fruits and vegetables consump- tion and risk of stroke: a meta-analysis of prospective cohort studies. Stroke. 2014; 45(6): 1613-1619. 23. World Cancer Research Fund; American Institute for Cancer Research. Food, nutrition, physical...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p721.pdf

afp20180615p798.pdf

...l Stroke l l l Ulcer l l Note: Inflammatory bowel disease, liver disease, stroke, and ulcer are scored as one disease each, regardless of severity. The remaining conditions are scored as one disease each only if it limits activity or requires a prescription medication. See...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p798.pdf

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