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Type 2 Diabetes Mellitus in Children - American Family Physician

Nov 1, 2018 - The prevalence of type 2 diabetes mellitus in children and adolescents has increased worldwide over the past three decades. This increase has coincided with the obesity epidemic, and minority groups are disproportionately affected. The American Diabetes Association recommends screening ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p590.html

Type 2 Diabetes Mellitus: ACP Releases Updated Guidance Statement on A1C Targets for ...

Nov 1, 2018 - This guidance statement from the American College of Physicians (ACP) aims to help physicians achieve appropriate A1C targets via medication for nonpregnant patients with type 2 diabetes based on a review of six health care organization guidelines.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1101/p613.html

Treatment of Knee Osteoarthritis - Implementing AHRQ Effective Health Care Reviews - ...

Nov 1, 2018 - What are the clinical effectiveness and harms of cell-based therapies, oral glucosamine and/or chondroitin, physical treatment interventions, weight loss, and home-based and self-management therapies for knee osteoarthritis?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/1101/p603.html

Epidural Analgesia and Risk of Cesarean Delivery - FPIN's Help Desk Answers - American ...

Nov 1, 2018 - There is no difference in the risk of cesarean delivery in women who receive epidural analgesia before 4 to 5 cm cervical dilation compared with later dilation.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1101/od2.html

Preventing Gun Violence: The Role of Family Physicians - Editorials - American Family ...

Nov 1, 2018 - As reviewed here, the available evidence on gun violence prevention provides some options to consider incorporating into family physicians' practices.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1101/p560.html

Culture-Specific Asthma Education Programs for Minority Groups - Cochrane for ...

Nov 1, 2018 - In children from minority groups, culture-specific asthma education programs (CAEPs) reduce the number of severe asthma exacerbations requiring hospitalization and improve asthma control as measured by the Childhood Asthma Control Test but not the Asthma Control Questionnaire. CAEPs ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1101/p572.html

Effectiveness of Intrapartum Antibiotics for Meconium-Stained Amniotic Fluid - Medicine...

Nov 1, 2018 - This review concluded that there is insufficient evidence to recommend prophylactic intrapartum antibiotics in laboring women with meconium-stained amniotic fluid because of the lack of difference in rates of neonatal sepsis between the antibiotic and placebo groups.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1101/od1.html

Abrupt Rash with Painful, Nonpruritic Purpura on the Lower Extremities - Photo Quiz - ...

Nov 1, 2018 - Advertisement << Previous article Next article >> Nov 1, 2018 Issue Photo Quiz Abrupt Rash with Painful, Nonpruritic Purpura on the Lower Extremities EFREN F. WU, MD, FAAFP, and PETER M. ZHANG, MD, MPH, University of California, Riverside, Family Medicine Residency, Palm Springs,...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1101/p607.html

AAFP News - Nov 1, 2018 - American Family Physician

Nov 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1101/p559.html

Depression: Screening and Diagnosis - American Family Physician

Oct 15, 2018 - Depression affects an estimated 8% of persons in the United States and accounts for more than $210 billion in health care costs annually. The U.S. Preventive Services Task Force (USPSTF) and American Academy of Family Physicians recommend screening for depression in the general adult ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p508.html

High Blood Pressure in Children and Adolescents - American Family Physician

Oct 15, 2018 - High blood pressure in children and adolescents is a growing health problem that is often overlooked. Children should be screened for elevated blood pressure annually beginning at three years of age or at every visit if risk factors are present. In children younger than 13 years, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p486.html

Urinary Retention in Adults: Evaluation and Initial Management - American Family Physician

Oct 15, 2018 - Urinary retention is the acute or chronic inability to voluntarily pass an adequate amount of urine. The condition predominantly affects men. The most common causes are obstructive in nature, with benign prostatic hyperplasia accounting for 53% of cases. Infectious, inflammatory, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p496.html

Cerumen Impaction: Diagnosis and Management - American Family Physician

Oct 15, 2018 - Cerumen production is a normal and protective process for the ear canal. However, cerumen should be removed when it causes symptoms (e.g., hearing loss, itching, pain, tinnitus) or prevents assessment of the external auditory canal, the tympanic membrane, or audiovestibular system. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p525.html

Morning vs. Evening Administration of Levothyroxine - FPIN's Clinical Inquiries - ...

Oct 15, 2018 - The effectiveness of levothyroxine for reducing TSH levels is most dependent on the timing of meals in relation to drug administration. There is conflicting evidence. In two studies, levothyroxine taken at least two hours after eating in the evening maintained or improved TSH levels ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/1015/p532.html

Newborn with a Hyperextended Knee - Photo Quiz - American Family Physician

Oct 15, 2018 - The initial examination of an infant was notable for passive hyperextension at right knee but otherwise full range of motion.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1015/p535.html

Recombinant Zoster Vaccine (Shingrix) for the Prevention of Shingles - STEPS - American...

Oct 15, 2018 - Recombinant zoster vaccine is a relatively new shingles vaccine that has been shown to have greater effectiveness and protection than the existing live vaccine. Local and systemic adverse effects may occur after administration, but have been shown to resolve within one to three days.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/1015/p539.html

Counseling Patients About Prostate Cancer Screening - Editorials - American Family ...

Oct 15, 2018 - The AAFP finds that the net benefit of population screening for prostate cancer is small at best, and it does not recommend routinely discussing PSA-based screening if the patient does not request it.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1015/p478.html

Long-Acting Muscarinic Antagonists plus Inhaled Steroids is Equal to Long-Acting ...

Oct 15, 2018 - Long-acting muscarinic antagonists added to inhaled corticosteroids are a superior treatment to placebo for improving asthma control in adults and children 12 years or older. Long-acting muscarinic antagonist add-on therapy is not superior to long-acting beta agonist (LABA) add-on therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od2.html

Screening for Prostate Cancer - Putting Prevention into Practice - American Family ...

Oct 15, 2018 - A.E., a 57-year-old black man, comes to your office for an annual visit. He has a history of diabetes mellitus, has never smoked, and has no family history of prostate cancer. He is current with preventive services, including screening for colorectal cancer and counseling for a healthy ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/1015/p537.html

Five-Day Nitrofurantoin Superior to Single-Dose Fosfomycin for Women with Uncomplicated...

Oct 15, 2018 - A five-day course of nitrofurantoin is significantly more likely than single-dose fosfomycin to achieve both clinical and microbiologic resolution of uncomplicated lower UTI in otherwise healthy adult women.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od4.html

Ambulatory Blood Pressure Important for Decision-Making About Treatment - POEMs - ...

Oct 15, 2018 - This study supports the guidelines recommending that treatment decisions be based on ambulatory blood pressure measurements rather than in-office blood pressure results. The difference between the two measurements in this cohort was 19/11 mm Hg, which is enough to change the decision to...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od5.html

Influenza Vaccination Recommendations for 2018-2019: Updates from ACIP - Practice ...

Oct 15, 2018 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2018–2019 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1015/p541.html

Cannabinoids Somewhat Helpful for Nausea, Maybe Helpful for Spasticity, Probably Not ...

Oct 15, 2018 - This umbrella review found a modest benefit of cannabinoids for the treatment of neuropathic pain; a greater benefit for the treatment of spasticity and nausea and vomiting; and substantial harms. The studies were extremely heterogeneous in terms of the comparators, dose, duration, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od3.html

Screening for Prostate Cancer: Recommendation Statement - U.S. Preventive Services Task...

Oct 15, 2018 - Advertisement << Previous article Next article >> Oct 15, 2018 Issue U.S. Preventive Services Task Force Screening for Prostate Cancer: Recommendation Statement Am Fam Physician. 2018 Oct 15;98(8):online. Related Putting Prevention into Practice: Screening for Prostate Cancer...

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

https://www.aafp.org/afp/2018/1015/od1.html

Genetic Factors Should Be Considered When Caring for Colorectal Cancer Survivors - ...

Oct 15, 2018 - Advertisement << Previous article Next article >> Oct 15, 2018 Issue Letters to the Editor The Presence of Bull's Eye Lesion Is Not Required to Diagnose Lyme Disease Am Fam Physician. 2018 Oct 15;98(8):474. Original Article: Clinical Diagnosis of Lyme Disease Frequently Misses the...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1015/p474.html

Genetic Factors Should Be Considered When Caring for Colorectal Cancer Survivors - ...

Oct 15, 2018 - Advertisement << Previous article Next article >> Oct 15, 2018 Issue Letters to the Editor Genetic Factors Should Be Considered When Caring for Colorectal Cancer Survivors Am Fam Physician. 2018 Oct 15;98(8):474-475. Original Article: Care of the Colorectal Cancer Survivor Issue...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1015/p474a.html

AAFP News - Oct 15, 2018 - American Family Physician

Oct 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1015/p476.html

Abdominal Wall Pain: Clinical Evaluation, Differential Diagnosis, and Treatment - ...

Oct 1, 2018 - Abdominal wall pain is often mistaken for intra-abdominal visceral pain, resulting in expensive and unnecessary laboratory tests, imaging studies, consultations, and invasive procedures. Those evaluations generally are nondiagnostic, and lingering pain can become frustrating to the ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1001/p429.html

Mechanical Low Back Pain - American Family Physician

Oct 1, 2018 - Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. Clinical clues, or red flags, may help identify cases of nonmechanical low back pain and prompt further evaluation or ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1001/p421.html

Anemia in Older Adults - American Family Physician

Oct 1, 2018 - Anemia is associated with increased morbidity and mortality in older adults. Diagnostic cutoff values for defining anemia vary with age, sex, and possibly race. Anemia is often asymptomatic and discovered incidentally on laboratory testing. Patients may present with symptoms related to ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1001/p437.html

Anemia - American Family Physician

Oct 1, 2018 - This collection features AFP content on anemia and related issues, including blood transfusions, iron deficiency and iron supplementation, macrocytosis, microcytosis, and thalassemia. This collection features AFP content on anemia and related issues, including blood transfusions, iron ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=2

Fleshy Mass Passed Vaginally by a Young Woman - Photo Quiz - American Family Physician

Oct 1, 2018 - A women presented with worsening cramps and lower abdominal pain six weeks after starting medroxyprogesterone acetate (Depo-Provera). The discomfort subsided after she vaginally passed a bloody fleshy mass.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1001/p449.html

Family Physicians Can Manage Adults with Hepatitis C - Editorials - American Family ...

Oct 1, 2018 - The Centers for Disease Control and Prevention encourages family physicians to treat patients with hepatitis C. Outcomes when primary care physicians prescribe direct-acting antivirals to patients with uncomplicated hepatitis C are comparable to those of subspecialists.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1001/p413.html

Depression in Adolescents: AAP Updates Guidelines on Diagnosis and Treatment - Practice...

Oct 1, 2018 - These updated recommendations from the American Academy of Pediatrics aim to address the identification and diagnosis of all forms of depression in adolescents, defined in this guideline as those 10 to 21 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1001/p462.html

Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal ...

Oct 1, 2018 - No benefit was observed in postmenopausal women receiving hormone therapy for primary prevention of cardiovascular disease. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1001/od1.html

Therapist-Guided, Internet-Delivered Cognitive Behavior Therapy for Anxiety - FPIN's ...

Oct 1, 2018 - Therapist-guided, Internet-delivered CBT can be used as an effective treatment for anxiety in adults and is similar in effectiveness to face-to-face CBT.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1001/p459.html

Interventions for Increasing Fruit and Vegetable Consumption in Children Five Years and...

Oct 1, 2018 - Child feeding interventions are effective in the short term (i.e., less than 12 months) for increasing a child's intake of fruits and vegetables, but only by less than 5% of the recommended daily allowance. Conversely, parental nutrition education and multicomponent interventions, such ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1001/p419.html

Aging Well: Poetry Can Help - Close-ups - American Family Physician

Oct 1, 2018 - Poems written by a 102-year-old living independently.

American Family Physician : Close-ups

https://www.aafp.org/afp/2018/1001/p451.html

Consider Muscle Strengthening for Plantar Fasciitis - Letters to the Editor - American ...

Oct 1, 2018 - Advertisement << Previous article Next article >> Oct 1, 2018 Issue Letters to the Editor Consider Muscle Strengthening for Plantar Fasciitis Am Fam Physician. 2018 Oct 1;98(7):407. Original Article: Heel Pain: Diagnosis and Management Issue Date: January 15, 2018 Available online...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1001/p407.html

AAFP News - Oct 1, 2018 - American Family Physician

Oct 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1001/p412.html

Low Back Pain - American Family Physician

Oct 1, 2018 - Advertisement << Previous article Next article >> Oct 1, 2018 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2018/1001/p421-s1.html

Hemolytic Anemia: Evaluation and Differential Diagnosis - American Family Physician

Sep 15, 2018 - Hemolytic anemia is defined by the premature destruction of red blood cells, and can be chronic or life-threatening. It should be part of the differential diagnosis for any normocytic or macrocytic anemia. Hemolysis may occur intravascularly, extravascularly in the reticuloendothelial ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p354.html

Well-Child Visits for Infants and Young Children - American Family Physician

Sep 15, 2018 - The well-child visit allows for comprehensive assessment of a child and the opportunity for further evaluation if abnormalities are detected. A complete history during the well-child visit includes information about birth history; prior screenings; diet; sleep; dental care; and medical,...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p347.html

Intestinal Obstruction: Evaluation and Management - American Family Physician

Sep 15, 2018 - Acute intestinal obstruction occurs when the forward flow of intestinal contents is interrupted or impaired by a mechanical cause. It is most commonly induced by intra-abdominal adhesions, malignancy, and herniation. The clinical presentation generally includes nausea, emesis, colicky ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p362.html

Breastfeeding: Common Questions and Answers - American Family Physician

Sep 15, 2018 - All major health organizations recommend breastfeeding as the optimal source of infant nutrition, with exclusive breastfeeding recommended for the first six months of life. After six months, complementary foods may be introduced. Most organizations recommend breastfeeding for at least ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p368.html

Single Maintenance and Reliever Therapy More Effective Than Inhaled Corticosteroids and...

Sep 15, 2018 - When compared with standard therapy (inhaled corticosteroids with or without LABAs and SABAs as relief therapy), SMART is associated with a reduced risk of acute asthma exacerbations in patients 12 years or older.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0915/p383.html

Screening for Cardiovascular Disease Risk with Electrocardiography: Recommendation ...

Sep 15, 2018 - The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.

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

https://www.aafp.org/afp/2018/0915/od1.html

Evidence-Based Medicine: Common Misconceptions, Barriers, and Practical Solutions - ...

Sep 15, 2018 - EBM is the integration of the best available evidence with clinical expertise and the individual patient's values, preferences, and unique circumstances. Despite the success of this approach, misconceptions and barriers remain.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0915/p343.html

Crisaborole (Eucrisa) for Mild to Moderate Atopic Dermatitis - STEPS - American Family ...

Sep 15, 2018 - Crisaborole has been shown to be effective in about one-third of patients who use it, but it is much more expensive than other available products. Although crisaborole is a safe option for patients in whom topical corticosteroids are considered risky (e.g., children at least two years ...

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0915/p379.html

Deprescribing Antipsychotics for Behavioral and Psychological Symptoms of Dementia and ...

Sep 15, 2018 - As part of the Deprescribing Guidelines in the Elderly Project, a Canadian team consisting of two family physicians, one geriatric psychiatrist, two geriatricians, and four pharmacists has provided recommendations to guide physicians in deprescribing antipsychotics for behavioral and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0915/p394.html

A Pigmented Thumbnail Lesion - Photo Quiz - American Family Physician

Sep 15, 2018 - A man with no recent trauma presented with a pigmented lesion on his thumbnail.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0915/p377.html

Screening for Cardiovascular Disease Risk with Electrocardiography - Putting Prevention...

Sep 15, 2018 - A 55-year-old man presents for an annual visit. He has no history of hypertension, cardiovascular disease (CVD), or diabetes mellitus; has never smoked; and has no family history of CVD. His lipid panel results from one year ago were normal, and he has no current symptoms of CVD.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0915/p375.html

Febuxostat Increases All-Cause and Cardiovascular Mortality Compared with Allopurinol -...

Sep 15, 2018 - For patients with gout who require treatment to lower their uric acid level, allopurinol is a safer option than febuxostat.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0915/p385.html

Violence in the Health Care Setting: What Can We Do? - Curbside Consultation - American...

Sep 15, 2018 - n July 2017, Dr. Todd Graham was fatally shot by his patient's husband when Dr. Graham denied his patient's request for opioids. This case highlights that, according to the Bureau of Labor Statistics, health care professions are one of the most dangerous industries of employment in the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0915/p381.html

HPV Testing Better Than Cytology for Women Vaccinated Against HPV - POEMs - American ...

Sep 15, 2018 - In women who had received the HPV vaccine, screening for HPV every five years, with cytology and colposcopy follow-up as needed, resulted in higher rates of identification of high-grade pre-cancerous disease than standard liquid-based cytology every 2.5 years with HPV follow-up ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0915/p384.html

Consider Cardiovascular Risk Factors Before Prescribing Triptans for Migraine - Letters...

Sep 15, 2018 - Advertisement << Previous article Next article >> Sep 15, 2018 Issue Letters to the Editor Consider Cardiovascular Risk Factors Before Prescribing Triptans for Migraine Am Fam Physician. 2018 Sep 15;98(6):342. Original Article: Acute Migraine Headache: Treatment Strategies Issue...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0915/p342.html

Adherence to CPAP May Make a Difference for Cardiovascular Outcomes in Patients with ...

Sep 15, 2018 - Advertisement Sep 15, 2018 Issue Letters to the Editor Adherence to CPAP May Make a Difference for Cardiovascular Outcomes in Patients with OSA Am Fam Physician. 2018 Sep 15;98(6):341-342. Original Article: Treating Sleep Apnea with Positive Airway Pressure Does Not Reduce Adverse CV...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0915/p341.html

AAFP News - Sep 15, 2018 - American Family Physician

Sep 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0915/p338.html

Helpful Tips for Breastfeeding - American Family Physician

Sep 15, 2018 - Advertisement << Previous article Next article >> Sep 15, 2018 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2018/0915/p368-s1.html

Annular Lesions: Diagnosis and Treatment - American Family Physician

Sep 1, 2018 - Annular lesions can present in a variety of diseases. Knowledge of the physical appearance and history of presentation of these skin findings can help in the diagnosis. A pruritic, annular, erythematous patch that grows centrifugally should prompt evaluation for tinea corporis. Tinea ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0901/p283.html

Common Foot Problems: Over-the-Counter Treatments and Home Care - American Family ...

Sep 1, 2018 - Most foot disorders do not require podiatry referral or complex interventions. After the clinical diagnosis is made, these conditions can typically be managed with over-the-counter (OTC) and home remedies, with guidance from the primary care physician. Stretching and strengthening ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0901/p298.html

Long-Acting Reversible Contraception: Difficult Insertions and Removals - American ...

Sep 1, 2018 - The use of long-acting reversible contraception is on the rise across the United States and has contributed to a decrease in teen pregnancies. With the increased use of long-acting reversible contraception, physicians may encounter difficult insertions and removals of intrauterine ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0901/p304.html

Antibiotics for Uncomplicated Skin Abscesses After Incision and Drainage: BMJ Rapid ...

Sep 1, 2018 - A collaboration between the BMJ and the MAGIC group led an international panel made up of a variety of health care professionals (e.g., family physicians, internists, dermatologists) and adults with experience treating and living with skin abscesses to create recommendations regarding ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0901/p323.html

Management of Insomnia Disorder in Adults - Implementing AHRQ Effective Health Care ...

Sep 1, 2018 - What are the effectiveness, comparative effectiveness, and adverse effects of interventions for insomnia disorder in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/0901/p319.html

Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease - ...

Sep 1, 2018 - Achieving a target BP of 135/85 mm Hg or less does not decrease the risk of total cardiovascular events vs. treating to a target of 140 to 160/90 to 100 mm Hg. Further, treating to the lower BP target does not improve total mortality, cardiovascular mortality, or serious adverse effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p276.html

Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...

Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p275.html

A Painless Facial Nodule - Photo Quiz - American Family Physician

Sep 1, 2018 - A man presented with a solitary erythematous nodule on his chin that had persisted for three months despite antibiotic treatment.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0901/p317.html

Chewing Gum for Reducing Post-Cesarean Section Ileus - Medicine by the Numbers - ...

Sep 1, 2018 - Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0901/od2.html

Radon: A Leading Environmental Cause of Lung Cancer - Editorials - American Family ...

Sep 1, 2018 - Protracted exposure to radon is the leading environmental cause of cancer deaths in the United States. Family physicians play a key role in informing patients about the health risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0901/p280.html

Effect of Dietary Changes on IBS Symptoms - FPIN's Help Desk Answers - American Family ...

Sep 1, 2018 - A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0901/od1.html

Nonopioids Equivalent to Opioids for Severe Chronic Back, Hip, or Knee Pain with Fewer ...

Sep 1, 2018 - Nonopioid medications were at least as effective as opioid medications for improving pain-related function over 12 months in adults with severe chronic back pain or knee or hip osteoarthritis pain. The evidence that opioids are not superior to nonopioid medications for chronic and acute...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0901/p316.html

Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture - Letters to ...

Sep 1, 2018 - Advertisement << Previous article Next article >> Sep 1, 2018 Issue Letters to the Editor Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture Am Fam Physician. 2018 Sep 1;98(5):272. To The Editor: In our urban, tertiary care university hospital, family...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0901/p272.html

AAFP News - Sep 1, 2018 - American Family Physician

Sep 1, 2018 - Selected policy and health issues news briefs from AAFP news.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0901/p270.html

Common Foot Problems: Home Treatments - American Family Physician

Sep 1, 2018 - Advertisement << Previous article Next article >> Sep 1, 2018 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2018/0901/p298-s1.html

Nutrition in Toddlers - American Family Physician

Aug 15, 2018 - The establishment of eating practices that contribute to lifelong nutritional habits and overall health begins in toddlerhood. During this time, children acquire the motor skills needed to feed themselves and develop preferences that affect their food selections. Classifications for ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p227.html

Bone Cancer: Diagnosis and Treatment Principles - American Family Physician

Aug 15, 2018 - Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation, nonspecific ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p205.html

Epistaxis: Outpatient Management - American Family Physician

Aug 15, 2018 - Epistaxis is a common emergency encountered by primary care physicians. Up to 60% of the general population experience epistaxis, and 6% seek medical attention for it. More than 90% of cases arise from the anterior nasal circulation, and most treatments can be easily performed in the ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p240.html

Preoperative Assessment in Older Adults: A Comprehensive Approach - American Family ...

Aug 15, 2018 - Surgical outcomes are significantly influenced by patients’ overall health, function, and life expectancy. A comprehensive geriatric preoperative assessment of older adults requires expanding beyond an organ-based or disease-based assessment. At a preoperative visit, it is important to ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p214.html

Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures...

Aug 15, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of vitamin D and calcium supplementation, alone or combined, for the primary prevention of fractures in men and premenopausal women.

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

https://www.aafp.org/afp/2018/0815/od2.html

Point-of-Care Ultrasonography in Family Medicine - Editorials - American Family Physician

Aug 15, 2018 - There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0815/p200.html

Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults - ...

Aug 15, 2018 - Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0815/p253.html

Interventions to Prevent Falls in Community-Dwelling Older Adults: Recommendation ...

Aug 15, 2018 - The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.

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

https://www.aafp.org/afp/2018/0815/od1.html

Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...

Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0815/p256.html

Delafloxacin (Baxdela) for Skin Infections - STEPS - American Family Physician

Aug 15, 2018 - Delafloxacin is a new fluoroquinolone antibiotic available in intravenous and oral formulations for the treatment of serious skin and skin structure infections in patients requiring initial intravenous therapy. It is effective for infections caused by MRSA or P. aeruginosa, in addition ...

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0815/p246.html

Safe Reduction of Primary Cesarean Births: National Partnership for Maternal Safety ...

Aug 15, 2018 - The National Partnership for Maternal Safety has developed a patient safety bundle that outlines important practices that every maternity unit should implement to reduce the number of primary cesarean births and improve care to increase the number of vaginal births.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0815/p258.html

Solitary Ulcerated Lesion on the Arm - Photo Quiz - American Family Physician

Aug 15, 2018 - A man presented with nevi on his back and a nontender, ulcerated lesion on his upper arm that was heterogenous in color with irregular borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0815/p251.html

Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA - POEMs - ...

Aug 15, 2018 - Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0815/p248.html

Medications Ineffective to Prevent Cognitive Decline or Dementia - POEMs - American ...

Aug 15, 2018 - None of the medications in this systematic review prevented or delayed cognitive decline, cognitive impairment, or dementia.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0815/p248a.html

Systolic Blood Pressure of At Least 140 mm Hg Best Place to Begin Treatment - POEMs - ...

Aug 15, 2018 - Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but does not ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0815/p249.html

Pulmonary Embolism Rule-Out Criteria Reduces the Need for CT Pulmonary Angiography in ...

Aug 15, 2018 - Use of the PERC clinical decision rule significantly reduces the need for CT pulmonary angiography in adults with an initial low-risk clinical estimate of suspected PE.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0815/p250.html

AAFP News - Aug 15, 2018 - American Family Physician

Aug 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0815/p198.html

Giving Your Toddler the Best Nutrition - American Family Physician

Aug 15, 2018 - Advertisement << Previous article Next article >> Aug 15, 2018 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2018/0815/p227-s1.html

Bone Cancer - American Family Physician

Aug 15, 2018 - Advertisement << Previous article Next article >> Aug 15, 2018 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2018/0815/p205-s1.html

Rheumatologic Tests: A Primer for Family Physicians - American Family Physician

Aug 1, 2018 - Patients with a suspected connective tissue disorder should undergo serologic testing to confirm the diagnosis and, in some cases, to monitor disease activity and predict flares. Patients with suspected systemic lupus erythematosus should be tested for antinuclear antibodies. However, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p164.html

Chronic Nonallergic Rhinitis - American Family Physician

Aug 1, 2018 - Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p171.html

Type 1 Diabetes: Management Strategies - American Family Physician

Aug 1, 2018 - There is considerable benefit of tight glucose control in patients with type 1 diabetes mellitus. Tight blood glucose control dramatically decreases the incidence of microvascular and macrovascular complications. Although glycemic goals should be individualized, most nonpregnant adults ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p154.html

Treatment Duration for Etonogestrel Implant - FPIN's Help Desk Answers - American ...

Aug 1, 2018 - The etonogestrel subdermal implant is approved by the U.S. Food and Drug Administration for contraception for up to three years, but it seems to be effective for up to five years.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0801/od3.html

Diabetes: ADA Releases Revised Position Statement on Standards of Medical Care - ...

Aug 1, 2018 - Because the evidence regarding medical care for persons with diabetes mellitus continues to evolve, the American Diabetes Association (ADA) annually updates its standards. In addition, starting in 2018, the ADA will also periodically update its guidance online if warranted.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0801/p187.html

The Role of Proton Pump Inhibitor Therapy in Patients with Functional Dyspepsia - ...

Aug 1, 2018 - There is moderate-quality evidence that PPIs are more effective than placebo at relieving overall symptoms in patients with functional dyspepsia (number needed to treat [NNT] = 11). Low-quality evidence suggests a small benefit of PPI therapy compared with prokinetics, and little to no ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0801/p152.html

Food Insecurity: How You Can Help Your Patients - Editorials - American Family Physician

Aug 1, 2018 - Physicians can improve the health of patients who experience food insecurity by following the SEARCH (screen, educate, adjust, recognize, connect, help) mnemonic and by using the resources outlined in this article.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0801/p143.html

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