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When a Patient's Chronic Pain Gets Worse - Curbside Consultation - American Family ...

Jul 1, 2009 - This case encapsulates many of the significant challenges in providing care for patients with chronic noncancer pain.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2009/0701/p77.html

Dopamine Agonists for Early Parkinson Disease - Cochrane for Clinicians - American ...

Jul 1, 2009 - Dopamine agonists, such as pramipexole (Mirapex), ropinirole (Requip), pergolide (formerly Permax), and apomorphine (Apokyn), improve the motor fluctuations and dyskinesias that commonly occur with levodopa, but at the expense of increasing nonmotor adverse effects and noncompliance. An...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0701/p28.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jul 1, 2009 - Although LMWH appears to be more effective than oral anticoagulants in the prevention of recurrent VTE, this does not translate into a survival benefit. LMWH and oral anticoagulants have the same reported adverse events of bleeding and thrombocytopenia.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0701/p30.html

Pharmacologic Pearls for End-of-Life Care - American Family Physician

Jun 15, 2009 - As death approaches, a gradual shift in emphasis from curative and life prolonging therapies toward palliative therapies can relieve significant medical burdens and maintain a patient's dignity and comfort. Pain and dyspnea are treated based on severity, with stepped interventions, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1059.html

ACC/AHA Guideline Update for the Management of ST-Segment Elevation Myocardial ...

Jun 15, 2009 - The American College of Cardiology and American Heart Association, in collaboration with the Canadian Cardiovascular Society, have issued an update of the 2004 guideline for the management of patients with ST-segment elevation myocardial infarction. The American Academy of Family ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1080.html

Risperidone (Risperdal) for Management of Autistic Disorder - STEPS - American Family ...

Jun 15, 2009 - Risperidone does not alter the course of autistic disorder, but is effective for controlling irritability and other associated symptoms. Patients taking risperidone should be appropriately monitored for adverse effects, especially abnormal movements.

American Family Physician : STEPS

https://www.aafp.org/afp/2009/0615/p1104.html

Effective Management of Flatulence - FPIN's Clinical Inquiries - American Family Physician

Jun 15, 2009 - Probiotics and rifaximin (Xifaxan) have been shown to reduce total number of flatus episodes and associated discomfort.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0615/p1098.html

ACG Releases Recommendations on the Management of Irritable Bowel Syndrome - Practice ...

Jun 15, 2009 - Irritable bowl syndrome (IBS) is a common disorder characterized by abdominal discomfort and altered bowel function. The American College of Gastroenterology (ACG) performed a series of systematic reviews, and developed evidence-based recommendations for the management of IBS.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0615/p1108.html

Screening for High Blood Pressure: Reaffirmation Recommendation Statement - U.S. ...

Jun 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for high blood pressure in adults 18 years and older.

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

https://www.aafp.org/afp/2009/0615/p1087.html

Scabies - Clinical Evidence Handbook - American Family Physician

Jun 15, 2009 - What are the effects of topical and systemic treatments for scabies?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0615/p1089.html

Editorials - Jun 15, 2009 - American Family Physician

Jun 15, 2009 - Advertisement << Previous article Next article >> Jun 15, 2009 Issue Editorials Floppy Iris Syndrome: Why BPH Treatment Can Complicate Cataract Surgery DAVID F. CHANG, MD, University of California, San Francisco, California Am Fam Physician. 2009 Jun 15;79(12):1051-1056. Discovering...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0615/p1051a.html

Editorials - Jun 15, 2009 - American Family Physician

Jun 15, 2009 - Advertisement << Previous article Next article >> Jun 15, 2009 Issue Editorials 2008 World Health Report Emphasizes Importance of Primary Health Care MARC RIVO, MD, MPH, Prestige Health Choice and Health Choice Network, Miami, Florida Am Fam Physician. 2009 Jun 15;79(12):1051. The...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0615/p1051.html

Symptom Management at the End of Life - Editorials - American Family Physician

Jun 15, 2009 - Advertisement << Previous article Next article >> Jun 15, 2009 Issue Editorials Symptom Management at the End of Life ANDREW PUTNAM, MD, Lombardi Comprehensive Cancer Center, Washington, DC Am Fam Physician. 2009 Jun 15;79(12):1050-1051. Related Article The focus of most of modern...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0615/p1050.html

Treatment of Nursing Home-Acquired Pneumonia - American Family Physician

Jun 1, 2009 - Pneumonia is an important cause of morbidity and mortality in nursing home residents, with 30-day mortality rates ranging from 10 to 30 percent. Streptococcus pneumoniae is the most common cause of nursing home-acquired pneumonia, although Staphylococcus aureus and gram-negative ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p976.html

Should Salmeterol Be Used for Long-Term Asthma Control? - Cochrane for Clinicians - ...

Jun 1, 2009 - Salmeterol may help improve asthma symptoms, but it should only be used as part of a comprehensive asthma management plan including inhaled corticosteroids and a short-acting beta agonist. There is currently insufficient evidence to confirm that salmeterol does not increase the risk of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0601/p957.html

Basic Rules of Influenza: How to Combat the H1N1 Influenza (Swine Flu) Virus - ...

Jun 1, 2009 - Advertisement << Previous article Next article >> Jun 1, 2009 Issue Editorials Basic Rules of Influenza: How to Combat the H1N1 Influenza (Swine Flu) Virus JONATHAN L. TEMTE, MD, PhD, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin Am Fam Physician....

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0601/p938.html

Telephone Triage of Patients with Influenza - Editorials - American Family Physician

Jun 1, 2009 - Advertisement << Previous article Next article >> Jun 1, 2009 Issue Editorials Telephone Triage of Patients with Influenza JONATHAN L. TEMTE, MD, PhD, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin Am Fam Physician. 2009 Jun 1;79(11):943-945. The...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0601/p943.html

Treatment of Nursing Home-Acquired Pneumonia: Dogma vs. Data - Editorials - American ...

Jun 1, 2009 - Advertisement << Previous article Next article >> Jun 1, 2009 Issue Editorials Treatment of Nursing Home–Acquired Pneumonia: Dogma vs. Data JOSEPH M. MYLOTTE, MD, State University of New York at Buffalo, Buffalo, New York Am Fam Physician. 2009 Jun 1;79(11):945-948. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0601/p945.html

Evaluation and Management of the Patient with Difficult-to-Control or Resistant ...

May 15, 2009 - High blood pressure is often difficult to control. Resistant hypertension is blood pressure above goal despite adherence to a combination of at least three antihypertensive medications of different classes, optimally dosed and usually including a diuretic. The approach to blood pressure...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p863.html

Identification and Management of Latent Tuberculosis Infection - American Family Physician

May 15, 2009 - Latent tuberculosis infection (LTBI) is a condition in which a person is infected with Mycobacterium tuberculosis, but does not currently have active tuberculosis disease. An estimated 10 to 15 million persons in the United States have LTBI. Because 5 to 10 percent of persons with LTBI ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p879.html

Preeclampsia, Eclampsia, and Hypertension - Clinical Evidence Handbook - American ...

May 15, 2009 - What are the effects of preventive interventions in women at risk of preeclampsia? What are the effects of interventions in women who develop mild to moderate hypertension during pregnancy? What are the effects of interventions in women who develop severe preeclampsia or very high blood...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0515/p895.html

Stimulants, ADHD, and the Heart - Editorials - American Family Physician

May 15, 2009 - Advertisement << Previous article Next article >> May 15, 2009 Issue Editorials Stimulants, ADHD, and the Heart THEODORE G. GANIATS, MD, University of California, San Diego, School of Medicine, San Diego, California Am Fam Physician. 2009 May 15;79(10):846-851. Related Practice...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0515/p846.html

Latent Tuberculosis Infection: The Physician's Role in Tuberculosis Control - ...

May 15, 2009 - Advertisement << Previous article Next article >> May 15, 2009 Issue Editorials Latent Tuberculosis Infection: The Physician's Role in Tuberculosis Control FERN R. HAUCK, MD, MS, and AMIESHA S. PANCHAL, MD, University of Virginia School of Medicine, Charlottesville, Virginia Am Fam...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0515/p845.html

Nonmalignant Chronic Pain: Taking the Time to Treat - Curbside Consultation - American ...

May 1, 2009 - Nonmalignant chronic pain is a common, yet challenging, health problem.1 Numerous factors over the past decade have put primary care physicians in a central role in the management of this pain.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2009/0501/p743.html

Antibiotics for Acute Maxillary Sinusitis - Cochrane for Clinicians - American Family ...

May 1, 2009 - Although there is some evidence that antibiotics are effective in the treatment of acute uncomplicated sinusitis, this benefit is modest. Most patients with acute sinusitis improve within two weeks without antibiotics. The potential risk of adverse effects from antibiotics may outweigh ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0501/p757.html

Custom vs. Prefabricated Orthoses for Foot Pain - Cochrane for Clinicians - American ...

May 1, 2009 - Compared with placebo or sham, custom-made foot orthoses modestly reduce foot pain from pes cavus (high arch), arthritis, plantar fasciitis, and painful hallux valgus. However, there is no evidence that custom orthoses are more effective than prefabricated ones.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0501/p758.html

ACP Releases Guideline on Treatment of Low Bone Mineral Density or Osteoporosis to ...

May 1, 2009 - The American College of Physicians (ACP) recently released guidelines on treatment of low bone mineral density (BMD) or osteoporosis to prevent fractures describes the available evidence on pharmacologic treatment in men and women.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0501/p808.html

The New Asthma Guidelines - Editorials - American Family Physician

May 1, 2009 - Advertisement << Previous article Next article >> May 1, 2009 Issue Editorials The New Asthma Guidelines BARBARA YAWN, MD, MSc, Olmsted Medical Center, Rochester, Minnesota Am Fam Physician. 2009 May 1;79(9):727-731. Related Article In this issue of American Family Physician,...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0501/p727.html

Drug Treatments for Polycystic Ovary Syndrome - American Family Physician

Apr 15, 2009 - Polycystic ovary syndrome is a condition present in approximately 5 to 10 percent of women of childbearing age. Diagnosis can be difficult because the signs and symptoms can be subtle and varied. These may include hirsutism, infertility, menstrual irregularities, and biochemical ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p671.html

Evaluating and Understanding Articles About Treatment - American Family Physician

Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p668.html

Treatment of Otitis Media with Perforated Tympanic Membrane - FPIN's Clinical Inquiries...

Apr 15, 2009 - Acute otitis media with tympanic membrane perforation in children should be treated with an oral antibiotic.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0415/p650.html

Alcohol Misuse - Clinical Evidence Handbook - American Family Physician

Apr 15, 2009 - What are the effects of interventions in hazardous or harmful drinkers in the primary care and emergency department settings?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0415/p692.html

Multimodal Treatment of Attention-Deficit/Hyperactivity Disorder in Children - ...

Apr 15, 2009 - Advertisement << Previous article Next article >> Apr 15, 2009 Issue Editorials Multimodal Treatment of Attention-Deficit/Hyperactivity Disorder in Children BARBARA T. FELT, MD; JULIE LUMENG, MD; and JENNIFER CHRISTNER, MD, University of Michigan Medical School, Ann Arbor, Michigan...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0415/p640.html

Heparins for Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction - ...

Apr 1, 2009 - Compared with standard therapy with aspirin, the use of heparin does not reduce mortality, the need for revascularization, and recurrent angina. Heparin does reduce the occurrence of myocardial infarction (MI; number needed to treat [NNT] = 33), defined as typical chest pain associated ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0401/p560.html

Treatment of the Post-ICU Patient in an Outpatient Setting - American Family Physician

Mar 15, 2009 - The care of a patient in the intensive care unit extends well beyond his or her hospitalization. Evaluation of a patient after leaving the intensive care unit involves a review of the hospital stay, including principal diagnosis, exposure to medications, period spent in the intensive ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p459.html

Recurrent Cystitis in Nonpregnant Women - Clinical Evidence Handbook - American Family ...

Mar 15, 2009 - Which interventions prevent further recurrence of cystitis in women experiencing at least two infections per year?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0315/p503.html

Acyclovir or Steroids as Pharmacologic Treatment of Bell Palsy - AFP Journal Club - ...

Mar 15, 2009 - Does acyclovir or steroids speed recovery in adults with Bell palsy? This study suggests that it is reasonable to start prednisolone in some cases, but physicians should not forget about practical considerations, such as lubricant eye drops, pain management, and chewing instruction. ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0315/p435.html

The JUPITER Study: Biomarkers Plus Statin vs. Lifestyle Modification for Preventing ...

Mar 15, 2009 - Advertisement << Previous article Next article >> Mar 15, 2009 Issue Editorials The JUPITER Study: Biomarkers Plus Statin vs. Lifestyle Modification for Preventing Cardiovascular Events COLIN KOPES-KERR, MD, Santa Rosa Family Medicine Residency, Santa Rosa, California MARK EBELL, MD,...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0315/p438.html

Dipeptidyl-peptidase-4 Inhibitors for Treatment of Type 2 Diabetes - Cochrane for ...

Mar 1, 2009 - When used as monotherapy or in conjunction with metformin (Glucophage) or thiazolidinediones, the DPP-4 inhibitor sitagliptin (Januvia) decreases A1C levels by 0.7 percent, but there are no data on patient-oriented outcomes or long-term safety. Until more studies are completed, it ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0301/p372.html

Effectiveness of Brief Alcohol Interventions in Primary Care - Cochrane for Clinicians ...

Mar 1, 2009 - For men who engage in excessive or hazardous drinking and present to their primary care physician for issues not specifically related to alcohol treatment, an intervention of one to four sessions administered by a physician, nurse, or psychologist is effective in reducing weekly alcohol...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0301/p370.html

Management of the Ingrown Toenail - American Family Physician

Feb 15, 2009 - Ingrown toenail, or onychocryptosis, most commonly affects the great toenail. Many anatomic and behavioral factors are thought to contribute to ingrown toenails, such as improper trimming, repetitive or inadvertent trauma, genetic predisposition, hyperhidrosis, and poor foot hygiene. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0215/p303.html

Evidence for the Use of Intramuscular Injections in Outpatient Practice - American ...

Feb 15, 2009 - There are few studies comparing the outcomes of patients who are treated with oral versus intramuscular antibiotics, corticosteroids, nonsteroidal anti-inflammatory drugs, or vitamin B12. This may lead to confusion about when the intramuscular route is indicated. For example, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0215/p297.html

Realistic Approaches to Counseling in the Office Setting - American Family Physician

Feb 15, 2009 - Although it is often unrecognized, family physicians provide a significant amount of mental health care in the United States. Time is one of the major obstacles to providing counseling in primary care. Counseling approaches developed specifically for ambulatory patients and traditional ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0215/p277.html

Sinusitis (Acute) - Clinical Evidence Handbook - American Family Physician

Feb 15, 2009 - What are the effects of treatments in persons with clinically diagnosed or radiologically or bacteriologically confirmed acute sinusitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0215/p320.html

Predicting Benefit of Spinal Manipulation for Low Back Pain - Point-of-Care Guides - ...

Feb 15, 2009 - Two systematic reviews found that spinal manipulation is superior to sham therapy or placebo in patients with acute low back pain, and has effectiveness similar to analgesics, physical therapy, or usual care by a primary care physician.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2009/0215/p318.html

Aspirin in Patients with Actue Ischemic Stroke - FPIN's Clinical Inquiries - American ...

Feb 1, 2009 - Aspirin in a daily dose of 160 to 300 mg initiated within 48 hours of symptom onset results in a net decrease in morbidity and mortality caused by acute ischemic stroke, based on a systematic review), regardless of the availability of computed tomography (CT).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0201/p226.html

Choosing Topical Corticosteroids - American Family Physician

Jan 15, 2009 - Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids available, and they differ in potency and formulation. Successful treatment depends on an accurate diagnosis and consideration of the steroid's delivery ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p135.html

Nonpharmacologic Management of Chronic Insomnia - American Family Physician

Jan 15, 2009 - Chronic insomnia is highly prevalent in our society, with an incidence of 10 to 30 percent. It is a major cost to society in terms of health care expenditure and reduced productivity. Nonpharmacologic interventions have been studied and shown to produce reliable and sustained ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p125.html

Tinidazole (Tindamax) for Trichomoniasis and Bacterial Vaginosis - STEPS - American ...

Jan 15, 2009 - Tinidazole is generally an expensive alternative to metronidazole for the treatment of trichomoniasis and bacterial vaginosis. It offers little, if any, advantage with regard to safety, tolerability, and effectiveness; however, its once-daily dosing and shorter course of therapy may be ...

American Family Physician : STEPS

https://www.aafp.org/afp/2009/0115/p102.html

GERD in Adults - Clinical Evidence Handbook - American Family Physician

Jan 15, 2009 - What are the effects of initial and maintenance treatment of GERD associated with esophagitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0115/p149.html

Principles of Casting and Splinting - American Family Physician

Jan 1, 2009 - The ability to properly apply casts and splints is a technical skill easily mastered with practice and an understanding of basic principles. The initial approach to casting and splinting requires a thorough assessment of the injured extremity for proper diagnosis. Once the need for ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p16.html

Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician

Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p29.html

Soy: A Complete Source of Protein - American Family Physician

Jan 1, 2009 - Soybeans contain all of the essential amino acids necessary for human nutrition and have been grown and harvested for thousands of years. Populations with diets high in soy protein and low in animal protein have lower risks of prostate and breast cancers than other populations. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p43.html

AAP Releases Guidelines on Management of Autism Spectrum Disorders - Practice ...

Dec 15, 2008 - Autism spectrum disorders (ASDs) are generally not curable, and long-term management is required. The American Academy of Pediatrics (AAP) has released guidelines on management of ASDs.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/1215/p1399.html

Adalimumab (Humira) for the Treatment of Rheumatoid Arthritis - STEPS - American Family...

Dec 15, 2008 - Adalimumab used alone offers little benefit over the traditional first-line agent, methotrexate. However, it increases remission rates when combined with methotrexate in early aggressive rheumatoid arthritis and when combined with traditional DMARDs in those who have not derived benefit...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/1215/p1406.html

Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...

Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1277.html

Management of Varicose Veins - American Family Physician

Dec 1, 2008 - Varicose veins are twisted, dilated veins most commonly located on the lower extremities. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity, older age, pregnancy, and prolonged standing. The exact pathophysiology is debated, but it ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1289.html

Recent Advances in Radiation Therapy - American Family Physician

Dec 1, 2008 - Recent advances have improved the effectiveness, decreased the complications, and expanded the implications of radiation therapy. These advances include three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic radiotherapy, brachytherapy, and ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1254.html

Is Prasugrel More Effective Than Clopidogrel in Patients with Acute Coronary Syndrome ...

Dec 1, 2008 - Is prasugrel better than clopidogrel in patients with acute coronary syndrome who are scheduled for percutaneous coronary intervention? This study is misleading, and current practice should not change based on its results.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/1201/p1252.html

Chronic Nonmalignant Pain in Primary Care - American Family Physician

Nov 15, 2008 - A systematic approach to chronic nonmalignant pain includes a comprehensive evaluation; a treatment plan determined by the diagnosis and mechanisms underlying the pain; patient education; and realistic goal setting. The main goal of treatment is to improve quality of life while ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1115/p1155.html

Febrile Seizures - Clinical Evidence Handbook - American Family Physician

Nov 15, 2008 - What are the effects of treatments given during episodes of fever in children with one or more previous simple febrile seizures? What are the effects of long-term (daily, longer than one month) anticonvulsant treatment in children with a history of simple febrile seizures? What are the ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/1115/p1199.html

AHRQ Reviews Management of Gestational Diabetes - Practice Guidelines - American Family...

Nov 15, 2008 - The Agency for Healthcare Research and Quality (AHRQ) systematically reviewed the literature on the management of gestational diabetes. Gestational diabetes is one of the most common complications of pregnancy, affecting about 7 percent of pregnancies each year in the United States.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/1115/p1217.html

Treating Opioid Dependency and Coexistent Chronic Nonmalignant Pain - Editorials - ...

Nov 15, 2008 - Advertisement << Previous article Next article >> Nov 15, 2008 Issue Editorials Treating Opioid Dependency and Coexistent Chronic Nonmalignant Pain RICHARD D. BLONDELL, MD, and LISHAM ASHRAFIOUN, BS, State University of New York at Buffalo, Buffalo, New York Am Fam Physician. 2008...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/1115/p1132.html

Probiotics - American Family Physician

Nov 1, 2008 - Probiotics are microorganisms with potential health benefits. They may be used to prevent and treat antibiotic-associated diarrhea and acute infectious diarrhea. They may also be effective in relieving symptoms of irritable bowel syndrome, and in treating atopic dermatitis in children. ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1073.html

Supplements and Sports - American Family Physician

Nov 1, 2008 - Use of performance-enhancing supplements occurs at all levels of sports, from professional athletes to junior high school students. Although some supplements do enhance athletic performance, many have no proven benefits and have serious adverse effects. Anabolic steroids and ephedrine ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1039.html

Management of Cervical Lymphadenitis in Children - FPIN's Clinical Inquiries - American...

Nov 1, 2008 - Cervical lymphadenitis, defined as an acute symptomatic enlargement of the cervical lymph nodes, is a common condition in children of all ages. Most cases of cervical lymphadenitis in children are self-limited and can safely be monitored for spontaneous resolution over four to six weeks.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/1101/p1097.html

Antioxidant Supplements Do Not Improve Mortality and May Cause Harm - Cochrane for ...

Nov 1, 2008 - In randomized controlled trials of primary and secondary prevention, vitamins A and E, and beta-carotene supplementation increased mortality. Vitamin C and selenium supplementation had no significant effect on mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/1101/p1079.html

ACP Releases Recommendations for Palliative Care at the End of Life - Practice ...

Nov 1, 2008 - The Clinical Efficiency Assessment Subcommittee of the American College of Physicians (ACP) has released guidelines to improve palliative care for patients with seriously disabling or symptomatic chronic conditions at the end of life.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/1101/p1093.html

Clinical Use of Probiotics: What Physicians Need to Know - Editorials - American Family...

Nov 1, 2008 - Advertisement << Previous article Next article >> Nov 1, 2008 Issue Editorials Clinical Use of Probiotics: What Physicians Need to Know MARY ELLEN SANDERS, PhD, International Scientific Association for Probiotics and Prebiotics, Dairy and Food Culture Technologies, Centennial,...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/1101/p1026.html

Essentials of Skin Laceration Repair - American Family Physician

Oct 15, 2008 - Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner)...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p945.html

Musculoskeletal Injections: A Review of the Evidence - American Family Physician

Oct 15, 2008 - Injections are valuable procedures for managing musculoskeletal conditions commonly encountered by family physicians. Corticosteroid injections into articular, periarticular, or soft tissue structures relieve pain, reduce inflammation, and improve mobility. Injections can provide ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p971.html

Recurrent Miscarriage - Clinical Evidence Handbook - American Family Physician

Oct 15, 2008 - What are the effects of treatments for unexplained recurrent miscarriage? What are the effects of treatments for recurrent miscarriage caused by antiphospholipid syndrome?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/1015/p977.html

Conivaptan (Vaprisol) for the Treatment of Hyponatremia - STEPS - American Family ...

Oct 15, 2008 - In most cases, patients with hyponatremia can be adequately managed with fluid restriction alone. However, acutely symptomatic patients may require treatment, such as hypertonic saline. In these situations, conivaptan is an expensive alternative.

American Family Physician : STEPS

https://www.aafp.org/afp/2008/1015/p984.html

Oppositional Defiant Disorder - American Family Physician

Oct 1, 2008 - Oppositional defiant disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., as a recurrent pattern of developmentally inappropriate, negativistic, defiant, and disobedient behavior toward authority figures. This behavior often appears in the preschool...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p861.html

Acute Lumbar Disk Pain: Navigating Evaluation and Treatment Choices - American Family ...

Oct 1, 2008 - Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p835.html

Does Limiting Interruptions During Cardiac Resuscitation Improve Outcomes - AFP Journal...

Oct 1, 2008 - Does the ACLS recommendation to limit interruptions during cardiac resuscitation improve outcomes for patients with cardiac arrest? It is a reasonable recommendation, but success rates in this study may be too good to believe.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/1001/p804.html

Management of Mastitis in Breastfeeding Women - American Family Physician

Sep 15, 2008 - Mastitis occurs in approximately 10 percent of U.S. mothers who are breastfeeding, and it can lead to the cessation of breastfeeding. The risk of mastitis can be reduced by frequent, complete emptying of the breast and by optimizing breastfeeding technique. Sore nipples can precipitate ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p727.html

Drug-Induced Nephrotoxicity - American Family Physician

Sep 15, 2008 - Drugs are a common source of acute kidney injury. Compared with 30 years ago, the average patient today is older, has more comorbidities, and is exposed to more diagnostic and therapeutic procedures with the potential to harm kidney function. Drugs shown to cause nephrotoxicity exert ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p743.html

ACOG Guidelines on Psychiatric Medication Use During Pregnancy and Lactation - Practice...

Sep 15, 2008 - The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on psychiatric medication used by women during pregnancy and lactation. The use of psychotropic medications in these women is a concern because of the risks of adverse perinatal and postnatal outcomes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0915/p772.html

Procalcitonin-Guided Treatment of Respiratory Tract Infections - Point-of-Care Guides -...

Sep 15, 2008 - Procalcitonin is a precursor to calcitonin. The final step in the synthesis of calcitonin is inhibited by cytokines and endotoxin released during bacterial infections; therefore, procalcitonin levels are selectively elevated in patients with bacterial infections.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0915/p756.html

Autism - Clinical Evidence Handbook - American Family Physician

Sep 15, 2008 - What are the effects of early, intensive, multidisciplinary intervention programs in children with autism? What are the effects of dietary interventions in children with autism? What are the effects of drug and nondrug treatments in children with autism?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0915/p758.html

Effect of Antiepileptic Drugs on Oral Contraceptives - FPIN's Clinical Inquiries - ...

Sep 1, 2008 - We found no studies that measure, or even estimate, any increase in pregnancy rates in women taking antiepileptic drugs. Antiepileptic drugs known to induce the hepatic cytochrome P450 (CYP450) isoenzyme cause decreased sex hormone levels in women taking oral contraceptives, raising the...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0901/p634.html

Alendronate for Fracture Prevention in Postmenopause - Cochrane for Clinicians - ...

Sep 1, 2008 - In postmenopausal women, a 10-mg daily dose of alendronate is effective for secondary (number needed to treat [NNT] = 16) and primary (NNT = 50) prevention of vertebral fractures. It is also effective for secondary prevention of nonvertebral fractures, including hip or wrist fractures ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0901/p579.html

GLAD-PC Steering Group Releases Guidelines for the Management of Adolescent Depression ...

Sep 1, 2008 - The Guidelines for Adolescent Depression in Primary Care (GLAD-PC) Steering Group developed the first evidence-based, expert consensus-derived guidelines for the management of adolescent depression by primary care physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0901/p652.html

Glucosamine - American Family Physician

Aug 15, 2008 - Glucosamine is one of the most popular dietary supplements sold in the United States. Most clinical trials have focused on its use in osteoarthritis of the knee. The reported adverse effects have been relatively well studied and are generally uncommon and minor. No significant ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p471.html

Update on the Treatment of Tuberculosis - American Family Physician

Aug 15, 2008 - Approximately one third of the world's population, including more than 11 million persons in the United States, is latently infected with Mycobacterium tuberculosis. Although most cases of tuberculosis in the United States occur in foreign-born persons from endemic countries, the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p457.html

Zoledronic Acid (Reclast) for Osteoporosis - STEPS - American Family Physician

Aug 15, 2008 - Zoledronic acid, in combination with calcium and vitamin D, will reduce the risk of vertebral fractures, and to a lesser extent, hip fractures in women with osteoporosis. It decreases subsequent fractures and mortality in high-risk patients who have had a hip fracture. Zoledronic acid ...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0815/p508.html

Diarrhea in Adults (Acute) - Clinical Evidence Handbook - American Family Physician

Aug 15, 2008 - What are the effects of treatments for acute diarrhea in adults living in resource-rich countries? What are the effects of treatments for mild-to-moderate traveler's diarrhea in adults from resource-rich countries traveling to resource-poor countries? What are the effects of treatments ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0815/p503.html

Which Diuretic Should Be Used for the Treatment of Hypertension? - Editorials - ...

Aug 15, 2008 - Advertisement << Previous article Next article >> Aug 15, 2008 Issue Editorials Which Diuretic Should Be Used for the Treatment of Hypertension? MOHAMMAD G. SAKLAYEN, MD, Boonshoft School of Medicine at Wright State University, Dayton, Ohio Am Fam Physician. 2008 Aug...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0815/p444.html

Choosing a Skeletal Muscle Relaxant - American Family Physician

Aug 1, 2008 - Skeletal muscle relaxants are widely used in treating musculoskeletal conditions. However, evidence of their effectiveness consists mainly of studies with poor methodologic design. In addition, these drugs have not been proven to be superior to acetaminophen or nonsteroidal ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0801/p365.html

Antiepileptic Drug Level Monitoring - FPIN's Clinical Inquiries - American Family ...

Aug 1, 2008 - Routine monitoring of antiepileptic drug levels does not alter seizure or side effect rates.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0801/p385.html

Aripiprazole as Adjunctive Therapy in Patients with Major Depressive Disorder - AFP ...

Aug 1, 2008 - Does augmentation with aripiprazole help patients with major depressive disorder who have not responded to initial therapy? Adding aripiprazole to SSRIs or SNRIs did not significantly improve depression in this study. However, this study did not compare the study drug with a real-world ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0801/p308.html

Cranberry Products for Treatment of Urinary Tract Infection - Cochrane for Clinicians -...

Aug 1, 2008 - Over a 12-month period, cranberry products decrease the incidence of symptomatic urinary tract infections (UTIs), especially in women with recurrent UTIs. Optimal dosage and form of administration (juice, tablets, or capsules) is unclear. There are no studies comparing cranberry juice ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0801/p332.html

ACP Guideline Recommends Diagnosis and Management Strategies for COPD - Practice ...

Aug 1, 2008 - The American College of Physicians (ACP) has released a guideline providing recommendations on the diagnosis and treatment of chronic obstructive pulmonary disease (COPD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0801/p401.html

Arthroscopic Surgery for Knee Osteoarthritis - Cochrane for Clinicians - American ...

Aug 1, 2008 - Compared with other modalities of treatment such as sham surgery, joint lavage, and joint washout, arthroscopic debridement does not improve outcomes for patients with osteoarthritis of the knee.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0801/p331.html

Improving Care for Patients with Serious Mental Illness - Editorials - American Family ...

Aug 1, 2008 - Advertisement << Previous article Next article >> Aug 1, 2008 Issue Editorials Improving Care For Patients with Serious Mental Illness KATHERINE J. GOLD, MD, MSW, MS, University of Michigan Medical School, Ann Arbor, Michigan AMY M. KILBOURNE, PhD, MPH, and MARCIA VALENSTEIN, MD, MS,...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0801/p314.html

Restless Legs Syndrome - American Family Physician

Jul 15, 2008 - Restless legs syndrome is a common neurologic movement disorder that affects approximately 10 percent of adults. Of those affected with this condition, approximately one third have symptoms severe enough to require medical therapy. Restless legs syndrome may be a primary condition, or ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p235.html

AHA Releases Guidelines for Hypertension Management in Adults with or at Risk of CAD - ...

Jul 15, 2008 - The American Heart Association (AHA) Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention have released guidelines on the management of hypertension in adults with or at risk of coronary artery disease (CAD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0715/p270.html

Becaplermin (Regranex) for Diabetic Foot Ulcers - STEPS - American Family Physician

Jul 15, 2008 - Although patients treated with becaplermin are more likely to experience complete and faster ulcer healing than patients continuing good wound care alone, the increased risk of cancer mortality and significant cost outweigh the possible benefits in most patients.

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0715/p255.html

Basal Cell Carcinoma - Clinical Evidence Handbook - American Family Physician

Jul 15, 2008 - What are the effects of interventions on treatment response and recurrence (within one year of therapy) and long-term recurrence (a minimum of two years after treatment) in persons with basal cell carcinoma?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0715/p248.html

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