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Pulmonary Rehabilitation in the Treatment of Chronic Obstructive Pulmonary Disease - ...

Sep 15, 2010 - Pulmonary rehabilitation is a nonpharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease. It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p655.html

Weight Loss Maintenance - American Family Physician

Sep 15, 2010 - Successful long-term weight loss maintenance can be achieved by various means. A combination of dietary and physical activity interventions, along with one or more behavioral approaches, has proven successful in some persons, as documented by the National Weight Control Registry, but is...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p630.html

Updated Guideline on Diagnosis and Treatment of Intra-Abdominal Infections - Practice ...

Sep 15, 2010 - The Surgical Infection Society and Infectious Diseases Society of America recently updated recommendations for diagnosis and treatment of intra-abdominal infections. Intra-abdominal infections are the second most common cause of infectious mortality in intensive care units. Complicated ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0915/p694.html

Bacterial Conjunctivitis - Clinical Evidence Handbook - American Family Physician

Sep 15, 2010 - What are the effects of empiric treatment in adults and children with suspected bacterial conjunctivitis? What are the effects of treatment in adults and children with culture-confirmed bacterial or suspected or clinically confirmed gonococcal conjunctivitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0915/p665.html

IDSA Releases Guidelines on Management of Cryptococcal Disease - Practice Guidelines - ...

Sep 15, 2010 - The Infectious Diseases Society of America (IDSA) recently updated its guidelines on the management of cryptococcal disease. The new guidelines include a discussion of the management of cryptococcal meningoencephalitis in three risk groups: patients who are HIV-positive, organ ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0915/p711.html

Methylnaltrexone (Relistor) for Opioid-Induced Constipation - STEPS - American Family ...

Sep 15, 2010 - Methylnaltrexone can temporarily relieve opioid-induced constipation in patients with advanced illness who have not responded to laxative treatment. However, it must be given by injection, is expensive, and has been studied only for short-term use.

American Family Physician : STEPS

https://www.aafp.org/afp/2010/0915/p678.html

Hyperlipidemia Treatment in Children: The Younger, the Better - Editorials: ...

Sep 1, 2010 - Despite the absence of data in children demonstrating morbidity and mortality reduction by aggressive treatment of lipid disorders, the overwhelming data in adults (e.g., decreasing LDL cholesterol, improved morbidity and mortality) and evidence of atherosclerotic lesions developing in ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/0901/p460.html

AAN Recommendations on Symptomatic Treatment for Muscle Cramps - Practice Guidelines - ...

Sep 1, 2010 - Muscle cramps occur when the motor system is stressed by neuromuscular disease, a medical condition, or a physiologic process, such as dehydration or excessive exercise. Cramps are also common during the last trimester of pregnancy. The American Academy of Neurology (AAN) recommends ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0901/p540.html

Hypothermia for Neuroprotection in Adults After Cardiopulmonary Resuscitation - ...

Sep 1, 2010 - Compared with standard care, therapeutic hypothermia with conventional cooling methods improves the rate of survival to hospital discharge and neurologic outcome in patients successfully resuscitated after cardiac arrest.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0901/p477.html

Managing the Adverse Effects of Radiation Therapy - American Family Physician

Aug 15, 2010 - Nearly two thirds of patients with cancer will undergo radiation therapy as part of their treatment plan. Given the increased use of radiation therapy and the growing number of cancer survivors, family physicians will increasingly care for patients experiencing adverse effects of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p381.html

Management of Alcohol Withdrawal Syndrome - FPIN's Clinical Inquiries - American Family...

Aug 15, 2010 - AWS may be managed with outpatient therapy if the patient has mild to moderate symptoms.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/0815/p344.html

ICSI Releases Guideline on Chronic Pain Assessment and Management - Practice Guidelines...

Aug 15, 2010 - The Institute for Clinical Systems Improvement (ICSI) released a guideline on the assessment and management of chronic pain in adults and physiologically mature adolescents 16 to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0815/p434.html

Schizophrenia (Maintenance Treatment) - Clinical Evidence Handbook - American Family ...

Aug 15, 2010 - What are the effects of treatments to reduce relapse rates in persons with schizophrenia? What are the effects of interventions in persons with schizophrenia who are resistant to standard antipsychotics? What are the effects of interventions to improve adherence to medication?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0815/p338.html

ACOG Guidelines on Noncontraceptive Uses of Hormonal Contraceptives - Practice ...

Aug 1, 2010 - Many of women use hormonal contraception for its noncontraceptive benefits, such as making menstruation more predictable and correcting menstrual irregularities caused by oligo-ovulation or anovulation. The American College of Obstetricians and Gynecologists (ACOG) provides guidelines ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0801/p288.html

Medical Management vs. Surgery for Gastroesophageal Reflux Disease - Cochrane for ...

Aug 1, 2010 - At one to three years, adults with GERD who were treated with laparoscopic fundoplication had more improvement in overall and GERD-specific quality of life scores and less exposure to acid in the lower esophagus compared with patients who use proton pump inhibitors (PPIs) and histamine ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0801/p244.html

Neuraminidase Inhibitors for Influenza Treatment and Prevention in Healthy Adults - ...

Aug 1, 2010 - Although neuraminidase inhibitors can reduce the risk of contracting symptomatic, confirmed influenza and reduce the time to recovery for those with laboratory-confirmed influenza, they are not effective for reducing the risk of influenza-like illness or asymptomatic influenza infection...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0801/p242.html

Postexposure Prophylaxis Against Human Immunodeficiency Virus - American Family Physician

Jul 15, 2010 - Family physicians often encounter situations in which postexposure prophylaxis (PEP) with antiretroviral medications against human immunodeficiency virus (HIV) may be indicated. When the exposure source's HIV status is unknown and testing of the source is possible, use of a rapid HIV ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0715/p161.html

Treating Diabetic Peripheral Neuropathic Pain - American Family Physician

Jul 15, 2010 - Diabetic peripheral neuropathic pain affects the functionality, mood, and sleep patterns of approximately 10 to 20 percent of patients with diabetes mellitus. Treatment goals include restoring function and improving pain control. Patients can realistically expect a 30 to 50 percent ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0715/p151.html

ADA Releases Updated Recommendations on Standards of Medical Care in Diabetes - ...

Jul 15, 2010 - The 2010 American Diabetes Association's (ADA) Standards of Medical Care in Diabetes includes revisions based on new evidence. Several sections have undergone major changes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0715/p206.html

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.html

Effectiveness of Antidepressants Compared with Placebo for Depression in Primary Care -...

Jul 1, 2010 - Tricyclic antidepressants (TCAs) and selective serotonin reuptake inhibitors (SSRIs) are more effective than placebo for the treatment of depression in primary care settings.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0701/p42.html

Opioid Therapy for Chronic Noncancer Pain - Cochrane for Clinicians - American Family ...

Jul 1, 2010 - Weak evidence suggests that opioids reduce chronic noncancer pain in some highly selected patients, although the effects on quality of life and functional status are unclear.1 Many patients will discontinue opioids because of adverse effects or inadequate pain relief.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0701/p40.html

Prescribing Evidence: The Effectiveness and Safety of New Drugs - Editorials - American...

Jul 1, 2010 - Our society values brand-name products, and drugs are no exception. However, only rudimentary safety information is available for new drugs. Required safety studies are short-term and may involve only 100 to 300 patients. Randomized controlled trials, the gold standard for testing ...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0701/p37.html

Treatment of Allergic Rhinitis - American Family Physician

Jun 15, 2010 - Allergic rhinitis is a common chronic respiratory illness that affects quality of life, productivity, and other comorbid conditions, including asthma. Treatment should be based on the patient’s age and severity of symptoms. Patients should be advised to avoid known allergens and be ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0615/p1440.html

Office-Based Strategies for the Management of Obesity - American Family Physician

Jun 15, 2010 - Roughly two thirds of U.S. adults are overweight or obese. Obesity increases the risk of hypertension, type 2 diabetes mellitus, hyperlipidemia, heart disease, pulmonary disease, hepatobiliary disease, cancer, and a number of psychosocial complications. Physicians often feel unprepared ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0615/p1449.html

Saxagliptin (Onglyza) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jun 15, 2010 - Saxagliptin lowers A1C levels to a lesser extent and is much more expensive than first-line therapy with metformin. Its ability to decrease diabetes-related complications, including mortality, is not known. It is a DPP-4 inhibitor that has a more significant drug interaction profile ...

American Family Physician : STEPS

https://www.aafp.org/afp/2010/0615/p1483.html

Burns (Minor Thermal) - Clinical Evidence Handbook - American Family Physician

Jun 15, 2010 - What are the effects of treatments for minor thermal burns?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0615/p1437.html

International Consensus Group Issues Recommendations for Management of Upper GI ...

Jun 15, 2010 - In response to new data that may lead to improved patient outcomes, the International Consensus Upper Gastrointestinal Bleeding Conference Group—a multidisciplinary group of 34 experts from 15 countries—developed international guidelines for managing nonvariceal upper GI bleeding. The ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0615/p1495.html

Let's Treat Obesity Seriously - Editorials - American Family Physician

Jun 15, 2010 - Advertisement << Previous article Next article >> Jun 15, 2010 Issue Editorials Let's Treat Obesity Seriously GEORGE A. BRAY, MD, MACP, MACE, Pennington Biomedical Research Center, Baton Rouge, Louisiana Am Fam Physician. 2010 Jun 15;81(12):1406-1408. Related Article Patients who...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0615/p1406.html

Treatment of Breast Cancer - American Family Physician

Jun 1, 2010 - Understanding breast cancer treatment options can help family physicians care for their patients during and after cancer treatment. This article reviews typical treatments based on stage, histology, and biomarkers. Lobular carcinoma in situ does not require treatment. Ductal carcinoma ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1339.html

First-Line Treatment for Hypertension - Cochrane for Clinicians - American Family ...

Jun 1, 2010 - In comparing the effects of thiazide diuretics, beta blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers (CCBs) with placebo, thiazide diuretics lowered mortality and morbidity from stroke, heart attack, and heart failure more than beta blockers.1 ACE ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0601/p1333.html

Aripiprazole vs. Other Atypical Antipsychotics for Schizophrenia - Cochrane for ...

Jun 1, 2010 - Aripiprazole is less effective in treating schizophrenia than olanzapine (Zyprexa), but has fewer metabolic and sedative adverse effects. There is no difference in effectiveness between aripiprazole and risperidone (Risperdal); however, aripiprazole may be associated with less dystonia,...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0601/p1335.html

Life Beyond Breast Cancer - Editorials - American Family Physician

Jun 1, 2010 - Advertisement << Previous article Next article >> Jun 1, 2010 Issue Editorials Life Beyond Breast Cancer AMBER L. ISLEY, MD, Jacksonville, Florida. DAWN MUSSALLEM-BUSS, MD, Mayo Clinic, Jacksonville, Florida. Am Fam Physician. 2010 Jun 1;81(11):1330-1332. Related Article As family...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0601/p1330.html

Diagnosis and Initial Management of Acute HIV Infection - American Family Physician

May 15, 2010 - Recognition and diagnosis of acute human immunodeficiency virus (HIV) infection in the primary care setting presents an opportunity for patient education and health promotion. Symptoms of acute HIV infection are nonspecific (e.g., fever, malaise, myalgias, rash), making misdiagnosis ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0515/p1239.html

Guidelines for the Diagnosis and Management of Hoarseness - Practice Guidelines - ...

May 15, 2010 - The American Academy of Otolaryngology–Head and Neck Surgery Foundation has released evidence-based guidelines for the evaluation and management of hoarseness. The goals of the guidelines are to improve diagnostic accuracy; reduce inappropriate medication and imaging use; and promote ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0515/p1292.html

Antidepressants for Initial Treatment of Depression - AFP Journal Club - American ...

May 15, 2010 - Which antidepressants should be used for the initial treatment of depression? This quality multiple-treatment meta-analysis gives physicians a good starting point for choosing an antidepressant. Sertraline and escitalopram should be considered first-line agents whereas bupropion, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2010/0515/p1205.html

Delirium at the End of Life - Clinical Evidence Handbook - American Family Physician

May 15, 2010 - What are the effects of interventions at the end of life in persons with delirium caused by underlying terminal illness?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0515/p1260.html

Febuxostat (Uloric) for Hyperuricemia and Gout - STEPS - American Family Physician

May 15, 2010 - Febuxostat more effectively lowers serum uric acid to goal levels than does allopurinol; however, this benefit is offset by a slightly higher incidence of adverse effects and treatment discontinuation. Until superiority for patient-oriented outcomes is shown in comparative trials with ...

American Family Physician : STEPS

https://www.aafp.org/afp/2010/0515/p1287.html

Diet and Exercise in the Management of Hyperlipidemia - American Family Physician

May 1, 2010 - Dietary factors that influence lipid levels include modification of nutritional components, consumption of specific foods, use of food additives and supplements, and major dietary approaches. The most beneficial changes result from reducing intake of saturated and trans fats; increasing...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1097.html

Glycemic Control in Hospitalized Patients Not in Intensive Care: Beyond Sliding-Scale ...

May 1, 2010 - Glycemic control in hospitalized patients who are not in intensive care remains unsatisfactory. Despite persistent expert recommendations urging its abandonment, the use of sliding-scale insulin remains pervasive in U.S. hospitals. Evidence for the effectiveness of sliding-scale insulin...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1130.html

Glucose Control in Hospitalized Patients - American Family Physician

May 1, 2010 - Evidence indicates that hospitalized patients with hyperglycemia do not benefit from tight blood glucose control. Maintaining a blood glucose level of less than 180 mg per dL (9.99 mmol per L) will minimize symptoms of hyperglycemia and hypoglycemia without adversely affecting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1121.html

Risperidone vs. Placebo for Schizophrenia - Cochrane for Clinicians - American Family ...

May 1, 2010 - Compared with placebo, risperidone improves symptoms based on some disease-specific symptom scores for schizophrenia. However, it does not appear to improve symptoms on a more important Clinical Global Impression scale.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0501/p1096.html

Opioids for Osteoarthritis of the Knee or Hip - Cochrane for Clinicians - American ...

May 1, 2010 - Compared with placebo, the benefits achieved from opioid therapy are modest in terms of pain relief and improvement in function, and do not outweigh the increase in adverse effects. No single opioid stands out as more effective or safer than the rest.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0501/p1094.html

ACP Releases Guideline on Hormone Testing and Pharmacologic Treatment of Erectile ...

May 1, 2010 - As the general population ages and life expectancy increases, erectile dysfunction (ED) is anticipated to be a major health care burden. Therefore, the American College of Physicians (ACP) created a guideline on hormone testing and pharmacologic treatment of ED.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0501/p1158.html

Glycemic Control in the Hospital: What to Do When Experts Disagree - Editorials - ...

May 1, 2010 - Advertisement << Previous article Next article >> May 1, 2010 Issue Editorials Glycemic Control in the Hospital: What to Do When Experts Disagree PETER HAM, MD, Department of Family Medicine, University of Virginia, Charlottesville, Virginia Am Fam Physician. 2010 May...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0501/p1078.html

Exercise, Yoga, and Meditation for Depressive and Anxiety Disorders - American Family ...

Apr 15, 2010 - Anxiety and depression are among the most common conditions cited by those seeking treatment with complementary and alternative therapies, such as exercise, meditation, tai chi, qigong, and yoga. The use of these therapies is increasing. Several studies of exercise and yoga have ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0415/p981.html

Warts (Nongenital) - Clinical Evidence Handbook - American Family Physician

Apr 15, 2010 - What are the effects of treatments for warts (nongenital)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0415/p1008.html

Skin and Soft Tissue Infections in Immunocompetent Patients - American Family Physician

Apr 1, 2010 - The increasing incidence of skin and soft tissue infections requires family physicians to be familiar with the management of these conditions. Evidence of systemic infection, such as fever, tachycardia, and hypotension, is an indication for inpatient management. Urgent surgical referral...

American Family Physician : Article

https://www.aafp.org/afp/2010/0401/p893.html

Blood Pressure Treatment Targets for Uncomplicated Hypertension - Cochrane for ...

Apr 1, 2010 - To date, there is no evidence to support treating patients with uncomplicated hypertension to blood pressure goals lower than the standard blood pressure target of less than or equal to 140 to 160/90 to 100 mm Hg. In randomized controlled trials, patients treated to lower blood pressure...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0401/p848.html

VItamin D Supplementation in Infants, Children, and Adolescents - American Family ...

Mar 15, 2010 - Advertisement << Previous article Next article >> Mar 15, 2010 Issue Vitamin D Supplementation in Infants, Children, and Adolescents CATHERINE F. CASEY, MD; DAVID C. SLAWSON, MD; and LINDSEY R. NEAL, MD, University of Virginia Medical Center, Charlottesville, Virginia Am Fam...

American Family Physician : Article

https://www.aafp.org/afp/2010/0315/p745.html

Stress Incontinence - Clinical Evidence Handbook - American Family Physician

Mar 15, 2010 - What are the effects of surgical and nonsurgical treatments for women with stress incontinence?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0315/p773.html

Adverse Effects of Antipsychotic Medications - American Family Physician

Mar 1, 2010 - The use of antipsychotic medications entails a difficult trade-off between the benefit of alleviating psychotic symptoms and the risk of troubling, sometimes life-shortening adverse effects. There is more variability among specific antipsychotic medications than there is between the ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0301/p617.html

Management of COPD Exacerbations - American Family Physician

Mar 1, 2010 - Exacerbations of chronic obstructive pulmonary disease contribute to the high mortality rate associated with the disease. Randomized controlled trials have demonstrated the effectiveness of multiple interventions. The first step in outpatient management should be to increase the dosage ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0301/p607.html

Addition of Long-Acting Beta Agonists for Asthma in Children - Cochrane for Clinicians ...

Mar 1, 2010 - In children with persistent asthma who are already taking inhaled corticosteroids, the addition of a LABA does not lower the rate of exacerbations requiring oral steroids, rescue medication, or hospitalizations, but it improves measurable lung function.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0301/p598.html

Topical Treatments for Chronic Plaque Psoriasis - Cochrane for Clinicians - American ...

Mar 1, 2010 - Topical vitamin D analogues, corticosteroids, anthralin, and tazarotene (Tazorac) are all more effective than placebo. Vitamin D and high-potency corticosteroids were equally effective when compared head to head, but were more effective in combination than either product alone. Vitamin ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0301/p596.html

Use of Atypical Antipsychotics in Children: Balancing Safety and Effectiveness - ...

Mar 1, 2010 - Advertisement << Previous article Next article >> Mar 1, 2010 Issue Editorials Use of Atypical Antipsychotics in Children: Balancing Safety and Effectiveness INGRID KOHLSTADT, MD, MPH, U.S. Food and Drug Administration, Office of Pediatric Therapeutics, Rockville, Maryland BENEDETTO...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0301/p585.html

Dapsone (Aczone) 5% Gel for the Treatment of Acne - STEPS - American Family Physician

Feb 15, 2010 - Topical dapsone gel will decrease the percentage of lesions in patients with mild to moderate acne, especially inflammatory lesions. Although not directly compared, dapsone gel has lower response rates than currently available topical treatments that are less expensive.

American Family Physician : STEPS

https://www.aafp.org/afp/2010/0215/p451.html

Combination Therapy for Postmenopausal Osteoporosis - FPIN's Clinical Inquiries - ...

Feb 15, 2010 - There is insufficient evidence to recommend combination therapy for the routine management of postmenopausal osteoporosis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/0215/p439.html

Osteoarthritis of the Hip - Clinical Evidence Handbook - American Family Physician

Feb 15, 2010 - What are the effects of nondrug, drug, and surgical treatments for osteoarthritis of the hip?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0215/p444.html

Management of Erectile Dysfunction - American Family Physician

Feb 1, 2010 - Erectile dysfunction (ED) is the most common sexual problem in men. The incidence increases with age and affects up to one third of men throughout their lives. It causes a substantial negative impact on intimate relationships, quality of life, and self-esteem. History and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p305.html

Secondary Prevention of Coronary Artery Disease - American Family Physician

Feb 1, 2010 - Coronary artery disease is the leading cause of mortality in the United States. In patients who have had a myocardial infarction or revascularization procedure, secondary prevention of coronary artery disease by comprehensive risk factor modification reduces mortality, decreases ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p289.html

AHA Guidelines on Prevention of Rheumatic Fever and Diagnosis and Treatment of Acute ...

Feb 1, 2010 - Group A streptococcus (GAS) infections of the pharynx are the precipitating cause of rheumatic fever. Proper diagnosis and adequate antibiotic treatment of GAS infections can prevent acute rheumatic fever in most cases. The American Heart Association (AHA) recently updated its ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0201/p346.html

Sleep Apnea - Clinical Evidence Handbook - American Family Physician

Jan 15, 2010 - What are the effects of treatment for severe and nonsevere OSAHS?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0115/p195.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

LASIK: A Primer for Family Physicians - American Family Physician

Jan 1, 2010 - Surgical correction of vision is becoming increasingly popular. Laser-assisted in situ keratomileusis (LASIK) is the most popular method of corneal refractive surgery. LASIK is usually limited to adults who have stable refraction. Contraindications include the use of certain ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0101/p42.html

Statins for Non-Dialysis Chronic Kidney Disease - Cochrane for Clinicians - American ...

Jan 1, 2010 - When taken over a five-year period, statins significantly reduce all-cause mortality (number needed to treat [NNT] = 56), cardiovascular mortality (NNT = 86), and nonfatal cardiovascular events (NNT = 25).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0101/p27.html

Hip Impingement: Identifying and Treating a Common Cause of Hip Pain - American Family ...

Dec 15, 2009 - Femoroacetabular impingement, also known as hip impingement, is the abutment of the acetabular rim and the proximal femur. Hip impingement is increasingly recognized as a common etiology of hip pain in athletes, adolescents, and adults. It injures the labrum and articular cartilage, and...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1429.html

Evaluation and Treatment of Hematospermia - American Family Physician

Dec 15, 2009 - Hematospermia can be a distressing symptom for patients, but most cases are effectively managed by a primary care physician. Although the condition is usually benign, significant underlying pathology must be excluded by history, physical examination, laboratory evaluation, and, in ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1421.html

NSAID Prescribing Precautions - American Family Physician

Dec 15, 2009 - Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used, but have risks associated with their use, including significant upper gastrointestinal tract bleeding. Older persons, persons taking anticoagulants, and persons with a history of upper gastrointestinal tract bleeding ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1371.html

Evening Primrose Oil - American Family Physician

Dec 15, 2009 - Evening primrose oil (Oenothera biennis) is a commonly used alternative therapy and a rich source of omega-6 essential fatty acids. It is best known for its use in the treatment of systemic diseases marked by chronic inflammation, such as atopic dermatitis and rheumatoid arthritis. It ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1405.html

Aspirin Use in Children for Fever or Viral Syndromes - FPIN's Clinical Inquiries - ...

Dec 15, 2009 - Aspirin should not be used to treat acute febrile viral illness in children.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/1215/p1472.html

Sinecatechins (Veregen) for External Genital and Perianal Warts - STEPS - American ...

Dec 15, 2009 - Sinecatechins offers no clear advantage with regard to safety and tolerability. Indirect comparisons with other treatments suggest that sinecatechins may be more effective, with fewer recurrences of warts following successful treatment, but direct comparisons are lacking.

American Family Physician : STEPS

https://www.aafp.org/afp/2009/1215/p1447.html

Migraine Headache in Children - Clinical Evidence Handbook - American Family Physician

Dec 15, 2009 - What are the effects of treatments for acute attacks and prophylaxis of migraine headache in children?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/1215/p1445.html

Aesthetic Procedures in Office Practice - American Family Physician

Dec 1, 2009 - Since the approval of botulinum toxin, dermal fillers, and lasers for cosmetic use, minimally invasive aesthetic procedures have rapidly become the treatments of choice for age-related facial changes.

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1231.html

Drug-Eluting Coronary Artery Stents - American Family Physician

Dec 1, 2009 - Many advances have been made in the percutaneous treatment of coronary artery disease during the past 30 years. Although balloon angioplasty alone is still performed, the use of coronary artery stents is much more common. Approximately 40 percent of patients treated with balloon ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1245.html

Preoperative Testing for Patients Undergoing Cataract Surgery - Cochrane for Clinicians...

Dec 1, 2009 - Routine preoperative testing before cataract surgery does not reduce intraoperative or postoperative complications.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1201/p1228.html

Guidelines for the Use of Opioid Therapy in Patients with Chronic Noncancer Pain - ...

Dec 1, 2009 - The American Pain Society and American Academy of Pain Medicine recently released a guideline for the use of opioids in patients with chronic noncancer pain. Chronic opioid therapy is controversial because of the potential for adverse effects and abuse.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1201/p1315.html

Interventions to Help Patients Reduce or Eliminate the Use of Smokeless Tobacco - ...

Dec 1, 2009 - Although the studies of behavior interventions were heterogeneous in this Cochrane review, behavior interventions such as mailings, oral or dental screenings, group discussions, workplace interventions, and telephone support showed the best evidence for smokeless tobacco cessation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1201/p1226.html

Influenza Management Guide 2009-2010 - Editorials - American Family Physician

Dec 1, 2009 - Advertisement << Previous article Next article >> Dec 1, 2009 Issue Editorials Influenza Management Guide 2009–2010 MINA MATIN, MD, and RONALD H. GOLDSCHMIDT, MD, University of California, San Francisco, San Francisco, California Am Fam Physician. 2009 Dec 1;80(11):1220. The online...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/1201/p1220.html

Common Forearm Fractures in Adults - American Family Physician

Nov 15, 2009 - Fractures of the forearm are common injuries in adults. Proper initial assessment includes a detailed history of the mechanism of injury, a complete examination of the affected arm, and appropriate radiography. Open fractures, joint dislocation or instability, and evidence of ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1096.html

Saline Nasal Irrigation for Upper Respiratory Conditions - American Family Physician

Nov 15, 2009 - Saline nasal irrigation is an adjunctive therapy for upper respiratory conditions that bathes the nasal cavity with spray or liquid saline. Nasal irrigation with liquid saline is used to manage symptoms associated with chronic rhinosinusitis. Less conclusive evidence supports the use of...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1117.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

Epilepsy - Clinical Evidence Handbook - American Family Physician

Nov 15, 2009 - What are the benefits and risks of starting antiepileptic drug treatment after a single seizure? What are the effects of monotherapy in newly diagnosed partial epilepsy? What are the effects of monotherapy in newly diagnosed generalized epilepsy (tonic-clonic type)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/1115/p1151.html

Joint Guideline on Intensive Glycemic Control and the Prevention of Cardiovascular ...

Nov 15, 2009 - Recommendations from the American Diabetes Association (ADA), American College of Cardiology Foundation (ACC), and American Heart Association (AHA) for glycemic control and prevention of cardiovascular events in patients with diabetes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1115/p1167.html

Diverticular Bleeding - American Family Physician

Nov 1, 2009 - Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p977.html

Cardiac Rehabilitation - American Family Physician

Nov 1, 2009 - An estimated 80 million (nearly one in three) Americans have cardiovascular disease, which is the leading cause of morbidity and mortality worldwide. In the United States alone, more than 850,000 deaths are attributed annually to cardiovascular disease, and more than 8 million Americans...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p955.html

Diagnosis and Management of Cerumen Impaction - Practice Guidelines - American Family ...

Nov 1, 2009 - Cerumen, or earwax, is normally expelled from the ear canal by a self-cleaning mechanism assisted by jaw movement. Physicians should diagnose impaction only when an accumulation of cerumen is associated with symptoms (e.g., otalgia, tinnitus, vertigo) or prevents necessary assessment of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1101/p1011.html

Low Glycemic Index Diets for the Management of Diabetes - Cochrane for Clinicians - ...

Nov 1, 2009 - The low glycemic index diet (sometimes called a low glycemic load diet) lowered the A1C level by a weighted mean difference of 0.5 percent when compared with a high glycemic index (or glycemic load) diet. Fewer episodes of hypoglycemia occurred with a low glycemic index diet compared ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1101/p941.html

Depression in Post-MI Patients: An Opportunity for Primary Care - Editorials - American...

Nov 1, 2009 - Advertisement << Previous article Next article >> Nov 1, 2009 Issue Editorials Depression in Post-MI Patients: An Opportunity for Primary Care DONALD E. NEASE, JR., MD, University of Michigan Medical School, Ann Arbor, Michigan Am Fam Physician. 2009 Nov 1;80(9):917. The American...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/1101/p917.html

Envenomations: An Overview of Clinical Toxinology for the Primary Care Physician - ...

Oct 15, 2009 - About 4,000 to 6,000 venomous snakebites occur each year in the United States. Although these envenomations (also known as envenomings) are rarely fatal, about 70 percent require antivenom therapy. Few evidence-based guidelines are available for the management of envenomation. Antivenom...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p793.html

Treatment for Anogenital Molluscum Contagiosum - FPIN's Clinical Inquiries - American ...

Oct 15, 2009 - There is no evidence from comparative trials to suggest a single best treatment method for anogenital molluscum contagiosum. Randomized controlled trials suggest self-administered topical imiquimod or podophyllotoxin cream is effective for resolving lesions.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/1015/p864.html

Diabetes: Foot Ulcers and Amputations - Clinical Evidence Handbook - American Family ...

Oct 15, 2009 - What are the effects of interventions to prevent foot ulcers and amputations in persons with diabetes? What are the effects of treatments in persons with diabetes with foot ulceration?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/1015/p789.html

NIH Consensus Statement on Management of Hepatitis B - Practice Guidelines - American ...

Oct 15, 2009 - The National Institutes of Health (NIH) Consensus Development Panel has produced a report on the management of hepatitis B virus (HBV) created by independent panels of health professionals and public representatives using a systematic literature review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1015/p884.html

Medical Marijuana: Informational Resources for Family Physicians - Editorials - ...

Oct 15, 2009 - Advertisement << Previous article Next article >> Oct 15, 2009 Issue Editorials Medical Marijuana: Informational Resources for Family Physicians JAMES MacDONALD, MD, FAAFP, University of California Santa Cruz Cowell Student Health Center, Santa Cruz, California Am Fam Physician. 2009...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/1015/p779.html

Same-Day Initiation of Hormonal Contraceptives - Cochrane for Clinicians - American ...

Oct 1, 2009 - Giving an injection of medroxyprogesterone (Depo-Provera) on any day of a patient's menstrual cycle decreases unintended pregnancies. For other hormonal methods, there is limited evidence. Compared with deferring until the patient's next menses, immediate start of hormonal methods ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1001/p690.html

Exercise for the Management of Cancer-Related Fatigue - Cochrane for Clinicians - ...

Oct 1, 2009 - Aerobic and resistance-training exercise programs lead to decreased overall fatigue and an improved quality of life during and after treatment of cancer.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1001/p689.html

Polycystic Ovary Syndrome - Clinical Evidence Handbook - American Family Physician

Sep 15, 2009 - What are the effects of treatments in women with polycystic ovary syndrome?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0915/p579.html

Is the San Francisco Syncope Rule Reliable? - AFP Journal Club - American Family Physician

Sep 15, 2009 - Can the San Francisco Syncope Rule successfully determine which patients can be safely discharged after an acute syncopal episode? External validation suggests that the sensitivity of the rule is lower than first reported. Physicians need to apply their clinical acumen and override the ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0915/p558.html

Splints and Casts: Indications and Methods - American Family Physician

Sep 1, 2009 - Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint. Splints are noncircumferential immobilizers that accommodate swelling. This quality makes splints ideal for the management of a variety of acute musculoskeletal conditions in which swelling ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0901/p491.html

Diagnosis and Treatment of Biceps Tendinitis and Tendinosis - American Family Physician

Sep 1, 2009 - Biceps tendinitis is inflammation of the tendon around the long head of the biceps muscle. Biceps tendinosis is caused by degeneration of the tendon from athletics requiring overhead motion or from the normal aging process. Inflammation of the biceps tendon in the bicipital groove, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0901/p470.html

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