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Practice Guidelines - Nov 1, 2006 - American Family Physician

Nov 1, 2006 - Vaginitis can lead to discomfort, days lost from school or work, and sexual dysfunction. The American College of Obstetricians and Gynecologists (ACOG) has released recommendations on the diagnosis and treatment of vaginitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1101/p1639a.html

Hormone Therapy in Postmenopausal and Perimenopausal Women - Cochrane for Clinicians - ...

Nov 1, 2006 - Relatively healthy women taking combined continuous hormone therapy have higher risks of myocardial infarction and venous thromboembolism after one year, stroke after three years, and breast cancer after five years. In women who take hormone therapy continuously for five years, there is...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1101/p1501.html

Antidepressants in Older Persons - Cochrane for Clinicians - American Family Physician

Nov 1, 2006 - In older persons with depression, three classes of antidepressants are equally effective: selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, and tricyclic-like compounds. More patients taking classic tricyclic antidepressants stopped their medications because of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1101/p1503.html

Psychosocial Interventions Delivered by Primary Care Physicians to Patients with ...

Nov 1, 2006 - Few high-quality studies have been conducted examining the effectiveness of psychosocial interventions performed by primary care physicians for patients with major depression. Two randomized controlled clinical trials (RCTs) found that a psychosocial intervention, specifically ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/1101/p1580.html

Practice Guidelines - Nov 1, 2006 - American Family Physician

Nov 1, 2006 - The Centers for Disease Control and Prevention (CDC) analyzed data from the 2003 Youth Risk Behavior Survey to determine the prevalence of dating violence among high school students. Programs that promote the prevention of dating violence should address risk factors associated with ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1101/p1639.html

BMI Monitoring in the Management of Obesity in Toddlers - Editorials - American Family ...

Nov 1, 2006 - Advertisement << Previous article Next article >> Nov 1, 2006 Issue Editorials BMI Monitoring in the Management of Obesity in Toddlers QING HE, PH.D.,New York Obesity Research Center, St. Luke’s-Roosevelt Hospital, Institute of Human Nutrition and Department of Pediatrics, Columbia...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1101/p1483.html

Management of Common Opioid-Induced Adverse Effects - American Family Physician

Oct 15, 2006 - Opioid analgesics are useful agents for treating pain of various etiologies; however, adverse effects are potential limitations to their use. Strategies to minimize adverse effects of opioids include dose reduction, symptomatic management, opioid rotation, and changing the route of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1347.html

Management of Head and Neck Injuries by the Sideline Physician - American Family Physician

Oct 15, 2006 - Injuries to the head and neck are common in sports. Sideline physicians must be attentive and prepared with an organized approach to detect and manage these injuries. Because head and neck injuries often occur simultaneously, the sideline physician can combine the head and neck ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1357.html

ACOG Releases Guidelines for Managing Abnormal Cervical Cytology and Histology in ...

Oct 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has developed new guidelines for the management of abnormal cervical cytology and histology. Because management in some instances differs for adolescent patients, ACOG also created guidelines specific to this population.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1015/p1431.html

Lubiprostone (Amitiza) for Chronic Idiopathic Constipation - STEPS - American Family ...

Oct 15, 2006 - Although bulk or osmotic laxatives are less expensive first options for treating patients with chronic idiopathic constipation, lubiprostone is an alternative for those who do not tolerate or respond to these agents, or in patients older than 65 years in whom tegaserod use is not ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/1015/p1380.html

Hemorrhoids - Clinical Evidence Handbook - American Family Physician

Oct 1, 2006 - What are the effects of treatments for hemorrhoidal disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/1001/p1168.html

Expectant Management vs. Surgical Treatment for Miscarriage - Cochrane for Clinicians -...

Oct 1, 2006 - Expectant management and surgical treatment are safe and effective for first-trimester miscarriage. Among patients who choose expectant management, there is a lower rate of pelvic infection but higher rates of mild bleeding, need for unplanned surgical treatment, and incomplete ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1001/p1125.html

Exercises for Mechanical Neck Disorders - Cochrane for Clinicians - American Family ...

Oct 1, 2006 - There is some evidence that a variety of exercises help patients with mechanical neck pain. Evidence is strongest for a multimodal approach that includes exercise and mobilization or manipulation of the cervical spine, although this research has been criticized for having an imperfect ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1001/p1126.html

Guidelines for the Use of Antibiotics in Acute Upper Respiratory Infections - American ...

Sep 15, 2006 - To help physicians with the appropriate use of antibiotics in children and adults with upper respiratory tract infection, a multidisciplinary team evaluated existing guidelines and summarized key practice points. Acute otitis media in children should be diagnosed only if there is abrupt...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p956.html

Tight Control of Type 1 Diabetes: Recommendations for Patients - American Family Physician

Sep 15, 2006 - Tight control of blood glucose levels and risk factors for cardiovascular disease (e.g., hypertension, hypercholesterolemia) can substantially reduce the incidence of microvascular and macrovascular complications from type 1 diabetes. Physicians play an important role in helping ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p971.html

Cirrhosis and Chronic Liver Failure: Part II. Complications and Treatment - American ...

Sep 1, 2006 - Major complications of cirrhosis include ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, portal hypertension, variceal bleeding, and hepatorenal syndrome. Diagnostic studies on ascitic fluid should include a differential leukocyte count, total protein level, a ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p767.html

Promoting Medication Adherence in Children - American Family Physician

Sep 1, 2006 - The problem of getting children to follow a treatment regimen is widespread and is frustrating for physicians. The extent to which any patient adheres to a medical regimen is an essential determinant of clinical success. Strategies to improve adherence in children include using ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p793.html

ADA Releases Standards of Medical Care for Patients with Diabetes - Practice Guidelines...

Sep 1, 2006 - The American Diabetes Association (ADA) has published a position statement containing evidence-based recommendations for diabetes care, treatment goals, and tools to evaluate the quality of care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0901/p871.html

Cholinesterase Inhibitors for Alzheimer's Disease - Cochrane for Clinicians - American ...

Sep 1, 2006 - Cholinesterase inhibitors produce a small benefit on several cognitive and noncognitive function scales. Although data for patients with severe dementia are sparse, there is no evidence to suggest a difference in effectiveness among patients with mild, moderate, or severe dementia. ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0901/p747.html

Acute Low Back Pain - Clinical Evidence Handbook - American Family Physician

Sep 1, 2006 - What are the effects of oral drug and nondrug treatments? What are the effects of local injections?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0901/p803.html

Antibiotics for Exacerbations of COPD - Cochrane for Clinicians - American Family ...

Sep 1, 2006 - There is consistent evidence from a small number of studies that antibiotics significantly reduce mortality (number needed to treat [NNT] = 8) and treatment failure (NNT = 3) in more severely ill patients with COPD who are hospitalized because of an exacerbation. Two smaller studies ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0901/p749.html

Antioxidants and Minerals for Age-Related Macular Degeneration - Cochrane for ...

Sep 1, 2006 - Supplementation with a combination of vitamin C, vitamin E, beta-carotene, and zinc modestly reduces the progression of ARMD in patients with disease in one or both eyes. High-dose vitamin supplements should not be recommended for patients without ARMD because of the possible harmful ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0901/p750.html

Practice Guidelines - Sep 1, 2006 - American Family Physician

Sep 1, 2006 - The American Gastroenterological Association (AGA) has released a review and position statement on the management of HCV infection.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0901/p875.html

Practice Guidelines - Sep 1, 2006 - American Family Physician

Sep 1, 2006 - In 2002 the Centers for Disease Control and Prevention (CDC), the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Pediatrics (AAP) recommended universal screening of pregnant women at 35 to 37 weeks’ gestation for rectovaginal group B ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0901/p875a.html

Digoxin Therapy for Heart Failure: An Update - American Family Physician

Aug 15, 2006 - Digoxin therapy has long been used to treat heart failure; however, its effectiveness was not completely known until recently. Results of the Digitalis Investigation Group trial showed that adding digoxin to standard heart failure therapy had no effect on mortality. However, adding ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0815/p613.html

Management of Grapefruit-Drug Interactions - American Family Physician

Aug 15, 2006 - Grapefruit is a healthy addition to a well-balanced diet. However, the fruit has been shown to affect the metabolism of many medications, increasing the risk of toxicity and adverse effects. Characteristics of oral medications that may interact with grapefruit include extensive ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0815/p605.html

Acamprosate (Campral) for Treatment of Alcoholism - STEPS - American Family Physician

Aug 15, 2006 - Acamprosate is a safe and well-tolerated treatment for patients with alcoholism and it appears to improve the likelihood that patients will remain abstinent. Most evidence suggests it is as effective as naltrexone but with fewer adverse reactions, and that it may be more effective when ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0815/p645.html

Antidepressant Discontinuation Syndrome - American Family Physician

Aug 1, 2006 - Antidepressant discontinuation syndrome occurs in approximately 20 percent of patients after abrupt discontinuation of an antidepressant medication that was taken for at least six weeks. Typical symptoms of antidepressant discontinuation syndrome include flu-like symptoms, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p449.html

ACOG Releases Guidelines for Management of Endometrial Cancer - Practice Guidelines - ...

Aug 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released evidence-based guidelines for the management of endometrial cancer. Endometrial carcinoma is a common gynecologic malignancy that many physicians encounter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0801/p504.html

Diuretics for Treatment of Patients with Heart Failure? - Cochrane for Clinicians - ...

Aug 1, 2006 - Compared with other active medications, diuretics can improve exercise capacity in patients with heart failure by about 30 percent. Withdrawal of diuretic therapy from patients with heart failure may increase the risk of hospital readmission or death. About eight deaths are prevented ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0801/p411.html

Laxatives for Hemorrhoids? - Cochrane for Clinicians - American Family Physician

Aug 1, 2006 - Fiber has a consistent beneficial effect in the treatment of symptomatic hemorrhoids for up to three months' follow-up as measured by overall symptoms and bleeding.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0801/p413.html

Treatments for Chronic Prostatitis - FPIN's Clinical Inquiries - American Family Physician

Aug 1, 2006 - Because the etiology of chronic nonbacterial prostatitis is unknown, a variety of treatments have been proposed. The best-designed, largest clinical trials have not found the most commonly used therapies (i.e., alpha blockers, quinolone antibiotics, non-steroidal anti-inflammatory ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0801/p475.html

Are Atypical Antipsychotics Safe in Patients with Alzheimer's Disease? - Cochrane for ...

Aug 1, 2006 - Although the atypical antipsychotic medications risperidone (Risperdal) and olanzapine (Zyprexa) are modestly efficacious in reducing aggression, routine use is not justified. Both drugs are associated with serious adverse cerebrovascular events and extrapyramidal symptoms. Use of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0801/p414.html

Heart Failure - Clinical Evidence Handbook - American Family Physician

Aug 1, 2006 - What are the effects of nondrug, drug and invasive treatments? What are the effects of ACE inhibitors in persons at high risk of heart failure?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0801/p467.html

Interventions to Facilitate Smoking Cessation - American Family Physician

Jul 15, 2006 - Tobacco use, primarily cigarette smoking, is the leading cause of preventable morbidity and mortality in the United States, and nearly one third of those who try a cigarette become addicted to nicotine. Family physicians, who see most of these patients in their offices every year, have ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p262.html

Opportunities to Improve Outcomes in Sickle Cell Disease - American Family Physician

Jul 15, 2006 - Sickle cell disease represents a spectrum of inherited hemoglobin disorders. The pathophysiology involves abnormalities not just in red blood cells but also vascular endothelium, white blood cell function, coagulation, and inflammatory response. Known sequelae of sickle cell disease ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p303.html

Chronic Musculoskeletal Pain in Children: Part II. Rheumatic Causes - American Family ...

Jul 15, 2006 - Primary care physicians should have a working knowledge of rheumatic diseases of childhood that manifest primarily as musculoskeletal pain. Children with juvenile rheumatoid arthritis can present with painless joint inflammation and may have normal results on rheumatologic tests. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p293.html

CDC Releases Guidelines on Antimicrobial Agents for the Treatment and Postexposure ...

Jul 15, 2006 - The Centers for Disease Control and Prevention (CDC) has released guidelines on antimicrobial agents for the treatment and postexposure prophylaxis of pertussis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0715/p333.html

Insulin Detemir (Levmir) for Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2006 - Insulin detemir is suitable as basal insulin in a basal-bolus regimen. In limited research, it has been shown to cause slightly fewer episodes of minor hypoglycemia and no weight gain in patients with type 1 and 2 diabetes, which is a benefit that must be balanced against its higher ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0715/p323.html

Beta2 Agonists in the Treatment of Asthma - Editorials - American Family Physician

Jul 15, 2006 - Advertisement << Previous article Next article >> Jul 15, 2006 Issue Editorials Beta2 Agonists in the Treatment of Asthma BARBARA YAWN, M.D., M.SC., Olmsted Medical Center, Rochester, Minnesota Am Fam Physician. 2006 Jul 15;74(2):232. The alert by the U.S. Food and Drug...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0715/p232.html

Initiating Hormonal Contraception - American Family Physician

Jul 1, 2006 - Most women can safely begin taking hormonal birth control products immediately after an office visit, at any point in the menstrual cycle. Because hormonal contraceptives do not accelerate cervical neoplasia or interfere with cervical cytology, women who have not had a recent ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0701/p105.html

Medical Management of Common Urinary Calculi - American Family Physician

Jul 1, 2006 - Nephrolithiasis is a common condition affecting nearly 5 percent of U.S. men and women during their lifetimes. Recurrent calculi can be prevented in most patients by the use of a simplified evaluation, reasonable dietary and fluid recommendations, and directed pharmacologic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0701/p86.html

AGA Releases Updated Recommendations on Dyspepsia - Practice Guidelines - American ...

Jul 1, 2006 - The American Gastroenterological Association (AGA) has released a position statement to reflect new evidence on the evaluation of dyspepsia. The AGA defines dyspepsia as chronic or recurrent pain or discomfort in the upper abdomen.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0701/p185.html

Cochrane for Clinicians - Jul 1, 2006 - American Family Physician

Jul 1, 2006 - Intravenous lidocaine and oral mexiletine provide a modest reduction in neuropathic pain with no indication of serious adverse effects. However, safety data are limited because most studies were of relatively short duration and fewer than 400 patients have been studied in total for each...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0701/p79.html

Peripheral Arterial Disease - Clinical Evidence Handbook - American Family Physician

Jul 1, 2006 - What are the effects of treatments for persons with chronic peripheral arterial disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0701/p137.html

Cochrane for Clinicians - Jul 1, 2006 - American Family Physician

Jul 1, 2006 - Induction of labor in patients with PROM does not increase the rates of cesarean delivery or operative vaginal delivery. Among patients who are induced there is a slightly lower incidence of chorioamnionitis (relative risk [RR] 0.74; 95% confidence interval [CI], 0.56 to 0.97) and a ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0701/p79a.html

Management of Hip Fracture: The Family Physician's Role - American Family Physician

Jun 15, 2006 - The incidence of hip fracture is expected to increase as the population ages. One in five persons dies in the first year after sustaining a hip fracture, and those who survive past one year may have significant functional limitation. Although surgery is the main treatment for hip ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0615/p2195.html

Exenatide Injection (Byetta): Adjunctive Therapy for Glycemic Control - STEPS - ...

Jun 15, 2006 - Exenatide is an injectable treatment for type 2 diabetes. Its use requires patient education and strict monitoring of glucose levels because of the difficulty of its administration; therefore, it may not be a safe or practical option for patients who are not willing or able to ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0615/p2213.html

Inborn Errors of Metabolism in Infancy and Early Childhood: An Update - American Family...

Jun 1, 2006 - Recent innovations in medical technology have changed newborn screening programs in the United States. The widespread use of tandem mass spectrometry is helping to identify more inborn errors of metabolism. Primary care physicians often are the first to be contacted by state and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1981.html

Nonpharmacologic Strategies for Managing Hypertension - American Family Physician

Jun 1, 2006 - The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends lifestyle modification for all patients with hypertension or prehypertension. Modifications include reducing dietary sodium to less than 2.4 g per ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1953.html

Low-Carbohydrate Diets - American Family Physician

Jun 1, 2006 - Americans spend dollar 33 billion annually on weight loss products and services, and a large portion of this money is spent on low-carbohydrate diets. Because of their higher protein and fat content and lower fiber and carbohydrate content, concerns have been raised about the potential ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1942.html

Antidepressants for the Treatment of Neuropathic Pain - Cochrane for Clinicians - ...

Jun 1, 2006 - Tricyclic antidepressants, particularly amitriptyline, are effective for the treatment of painful diabetic neuropathy and post herpetic neuralgia, and may be beneficial in other neuropathic pain syndromes, but they should be used with caution in patients at increased risk of adverse ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0601/p1933.html

Warfarin for Prevention of Ischemic Stroke Recurrence? - FPIN's Clinical Inquiries - ...

Jun 1, 2006 - There is no evidence that anticoagulation with warfarin, initiated after a noncardioembolic ischemic stroke, significantly reduces stroke recurrence. Furthermore, anticoagulation significantly increases the risk of fatal and nonfatal hemorrhagic stroke and extracranial hemorrhage in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0601/p2011.html

Depressive Disorders - Clinical Evidence Handbook - American Family Physician

Jun 1, 2006 - What are the effects of treatments in mild to moderate or severe depression? Which interventions reduce relapse rates? What are the effects of interventions to improve delivery of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0601/p1999.html

Cochrane for Clinicians - Jun 1, 2006 - American Family Physician

Jun 1, 2006 - For adult patients who are taking a minimum maintenance dosage of inhaled corticosteroid for asthma, adding a long-acting beta2 agonist permits reduction of the dosage of inhaled corticosteroid by 253 mcg beclomethasone equivalent per day without worsening the patient's symptoms. In ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0601/p1935a.html

Cochrane for Clinicians - Jun 1, 2006 - American Family Physician

Jun 1, 2006 - An antidepressant such as imipramine (Tofranil) or sertraline (Zoloft), possibly with the addition of an antipsychotic, is the preferred initial pharmacologic treatment for psychotic depression.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0601/p1935.html

Low-Carbohydrate Dieting - Editorials - American Family Physician

Jun 1, 2006 - Advertisement << Previous article Next article >> Jun 1, 2006 Issue Editorials Low-Carbohydrate Dieting REBECCA K. KIRBY, M.D., M.S., R.D., The Center for the Improvement of Human Functioning International Wichita, Kansas Am Fam Physician. 2006 Jun 1;73(11):1896-1901. Related...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0601/p1896.html

Evaluation and Treatment of the Child with Febrile Seizure - American Family Physician

May 15, 2006 - Up to 5 percent of children in North America and western Europe experience at least one episode of febrile seizure before six years of age. Most of these seizures are self-limited and patients do not require treatment. Continuous therapy after the seizure is not effective in reducing ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0515/p1761.html

Levonorgestrel-Releasing Intrauterine System (Mirena) for Contraception - STEPS - ...

May 15, 2006 - The levonorgestrel-releasing intrauterine system is a reliable, reversible, low-maintenance method of long-term contraception. Rates of failure are similar to those of female sterilization, and the risk of expulsion is minimal for most users.

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0515/p1799.html

Practice Guidelines - May 15, 2006 - American Family Physician

May 15, 2006 - A subcommittee of the American Academy of Neurology (AAN) reviewed articles on carotid endarterectomy to assess the effectiveness of the procedure in preventing stroke in patients with internal carotid artery stenosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0515/p1847a.html

Practice Guidelines - May 15, 2006 - American Family Physician

May 15, 2006 - The Centers for Disease Control and Prevention (CDC) is investigating an outbreak of mumps that began in Iowa in December 2005. Other cases that were thought to be linked to the Iowa outbreak were being investigated in Illinois, Kansas, Minnesota, Missouri, Nebraska, and Wisconsin.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0515/p1847.html

Testosterone Treatments: Why, When, and How? - American Family Physician

May 1, 2006 - Testosterone treatment is controversial for men and even more so for women. Although long-term outcome data are not available, prescriptions for testosterone are becoming more common. Testosterone is used primarily to treat symptoms of sexual dysfunction in men and women and hot flashes...

American Family Physician : Article

https://www.aafp.org/afp/2006/0501/p1591.html

Hypertension in Children and Adolescents - American Family Physician

May 1, 2006 - The development of a national database on normative blood pressure levels throughout childhood has contributed to the recognition of elevated blood pressure in children and adolescents. The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0501/p1558.html

Managing Opioid Addiction with Buprenorphine - American Family Physician

May 1, 2006 - Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0501/p1573.html

2005 AHA Guidelines for CPR and Emergency Cardiac Care - Practice Guidelines - American...

May 1, 2006 - The American Heart Association (AHA) recently released new guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0501/p1644.html

Carbamazepine for Acute and Chronic Pain - Cochrane for Clinicians - American Family ...

May 1, 2006 - Two small trials have shown carbamazepine to be beneficial in the treatment of diabetic neuropathic pain. Carbamazepine shows similar clinical effect to gabapentin (Neurontin) and phenytoin (Dilantin), but there have been no head-to-head trials directly comparing these drugs. ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0501/p1549.html

Nocturnal Enuresis - Clinical Evidence Handbook - American Family Physician

May 1, 2006 - What are the effects of interventions for the relief of symptoms?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0501/p1611.html

Buprenorphine: Effective Treatment of Opioid Addiction Starts in the Office - ...

May 1, 2006 - Advertisement << Previous article Next article >> May 1, 2006 Issue Editorials Buprenorphine: Effective Treatment of Opioid Addiction Starts in the Office DAVID A. FIELLIN, M.D., Yale University School of Medicine, New Haven, Connecticut Am Fam Physician. 2006 May 1;73(9):1513-1514....

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0501/p1513.html

Ramelteon (Rozerem) for Insomnia - STEPS - American Family Physician

Apr 15, 2006 - Ramelteon is safe and effective for decreasing the time to persistent sleep in patients with chronic insomnia. It does not have the potential for abuse or dependence that sedative hypnotics have and is not a controlled substance.

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0415/p1437.html

Practice Guidelines - Apr 15, 2006 - American Family Physician

Apr 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released an opinion statement on issues specific to pregnancy in obese women. Women who are obese are at increased risk of complications of pregnancy such as gestational hypertension and diabetes, preeclampsia, fetal ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0415/p1471.html

Practice Guidelines - Apr 15, 2006 - American Family Physician

Apr 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released recommendations for screening for Tay-Sachs disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0415/p1471a.html

Bariatric Surgery: Too Many Unanswered Questions - Editorials - American Family Physician

Apr 15, 2006 - Advertisement << Previous article Next article >> Apr 15, 2006 Issue Editorials Bariatric Surgery: Too Many Unanswered Questions ARTHUR FRANK, M.D., George Washington University, Washington, D.C. Am Fam Physician. 2006 Apr 15;73(8):1335-1336. Related Article One of the obvious...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0415/p1335.html

Herniated Lumbar Disk - Clinical Evidence Handbook - American Family Physician

Apr 1, 2006 - What are the effects of surgery and drug and nondrug treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0401/p1240.html

Glucosamine Treatment for Osteoarthritis - Cochrane for Clinicians - American Family ...

Apr 1, 2006 - This review shows that, compared with placebo, glucosamine sulfate produces a moderate, clinically significant reduction in pain and improvement in function for patients with osteoarthritis. However, study results were not consistent. Most studies in the review used preparations of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0401/p1189.html

Glucosamine and Chondroitin for Osteoarthritis - FPIN's Clinical Inquiries - American ...

Apr 1, 2006 - Glucosamine reduces pain and improves function in patients with knee or hip osteoarthritis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0401/p1245.html

Cochrane for Clinicians - Apr 1, 2006 - American Family Physician

Apr 1, 2006 - The single clinical trial on this topic found that inhaled beta agonists do not reduce cough frequency or improve symptoms in children with chronic, nonspecific cough.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0401/p1191a.html

Cochrane for Clinicians - Apr 1, 2006 - American Family Physician

Apr 1, 2006 - Benzodiazepines are safe and effective for the treatment of alcohol withdrawal, particularly for the prevention of withdrawal seizures, although their superiority to anticonvulsants has not been demonstrated convincingly. There is no clear benefit of one benzodiazepine over another or ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0401/p1191.html

Screening and Management of Abdominal Aortic Aneurysm: The Best Evidence - Editorials -...

Apr 1, 2006 - Advertisement << Previous article Next article >> Apr 1, 2006 Issue Editorials Screening and Management of Abdominal Aortic Aneurysm: The Best Evidence CRAIG FLEMING, M.D., Kaiser-Permanente Center for Health Research, Portland, Oregon Am Fam Physician. 2006 Apr 1;73(7):1157-1158....

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0401/p1157.html

The Patient with Excessive Worry - American Family Physician

Mar 15, 2006 - Worry is a normal response to uncertainty. Education, empathetic support, reassurance, and passage of time usually ameliorate ordinary worries. However, these common-sense strategies for dealing with transient worries often prove ineffective for patients with excessive worry, many of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0315/p1049.html

Preventing Postpartum Hemorrhage: Managing the Third Stage of Labor - American Family ...

Mar 15, 2006 - Postpartum hemorrhage is a significant cause of maternal morbidity and mortality. Most postpartum hemorrhages are caused by uterine atony and occur in the immediate postpartum period. Expectant or physiologic management of the third stage of labor has been compared with active ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0315/p1025.html

Guidelines for Delivering Quality Palliative Care - Practice Guidelines - American ...

Mar 15, 2006 - The National Consensus Project for Quality Palliative Care (NCP), representing five major U.S. palliative care organizations, has established guidelines to promote consistent and high-quality palliative care and to guide the structure and development of existing services.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0315/p1104.html

Amlodipine/Atorvastin (Caduet) for Preventing Heart Disease - STEPS - American Family ...

Mar 15, 2006 - Amlodipine/atorvastatin offers no added benefit in safety, tolerability, or effectiveness over amlodipine and atorvastatin taken separately. It has not been shown to improve mortality or morbidity in patients who have hypertension with or without dyslipidemia. The only potential ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0315/p1067.html

Out-of-Hospital Cardiac Arrest and Use of Automated External Defibrillators - ...

Mar 15, 2006 - Advertisement << Previous article Next article >> Mar 15, 2006 Issue Editorials Out-of-Hospital Cardiac Arrest and Use of Automated External Defibrillators DEBORAH K. WITT, M.D., and CHRISTOPHER V. CHAMBERS, M.D.,Thomas Jefferson University Jefferson, Medical College, Philadelphia,...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0315/p977.html

Cyclic vs. Continuous or Extended- Cycle Combined Contraceptives - Cochrane for ...

Mar 1, 2006 - Evidence shows no difference in safety or effectiveness between cyclic and continuous or extended-cycle combined contraceptives. There are fewer menstrual symptoms with extended-cycle contraceptives. Patients’ satisfaction and adherence is similar for all types.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0301/p804.html

Practice Guidelines - Mar 1, 2006 - American Family Physician

Mar 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released evidence-based guidelines for medical abortion.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0301/p925a.html

Treatment of Herpes Zoster - FPIN's Clinical Inquiries - American Family Physician

Mar 1, 2006 - Resolution of acute pain related to herpes zoster is accelerated with any of the following: oral acyclovir (Zovirax) 800 mg five times daily for seven days; valacyclovir (Valtrex) 1,000 mg three times daily for seven days; or famciclovir (Famvir) 750 mg once daily, 500 mg twice daily, ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0301/p882.html

Oral Appliances for Obstructive Sleep Apnea? - Cochrane for Clinicians - American ...

Mar 1, 2006 - Although oral appliances provide improved subjective sleepiness and sleep-disordered breathing, continuous positive airway pressure (CPAP) is more effective. Oral appliances should not be used as a first-line treatment but rather should be reserved for patients who cannot tolerate CPAP ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0301/p801.html

Practice Guidelines - Mar 1, 2006 - American Family Physician

Mar 1, 2006 - Guidelines for the routine use of the newly approved tetravalent meningococcal conjugate vaccine (MCV4) and updated guidelines for the use of the standard tetravalent meningococcal polysaccharide vaccine (MPSV4) have been issued in a policy statement from the Committee on Infectious ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0301/p925.html

Behavior Disorders of Dementia: Recognition and Treatment - American Family Physician

Feb 15, 2006 - Psychosis may pose a greater challenge than cognitive decline for patients with dementia and their caregivers. The nature and frequency of psychotic symptoms varies over the course of illness, but in most patients, these symptoms occur more often in the later stages of disease. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p647.html

ACOG Releases Guidelines for Management of Abnormal Cervical Cytology and Histology - ...

Feb 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released evidence-based guidelines for management of abnormal cervical cytology and histology. Cervical cytology screening has been associated with a dramatic reduction in cervical cancer incidence and mortality.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0215/p719.html

Nesiritide (Natrecor) for Acute Decompensated Heart Failure - STEPS - American Family ...

Feb 15, 2006 - Nesiritide improves short-term hemodynamics in hospitalized patients with acute decompensated heart failure who have not benefited from aggressive treatment with standard care. However, nesiritide may cause renal function to worsen and may increase the risk of death within 30 days.

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0215/p687.html

New Standards to Reduce Morbidity and Mortality in Hospitalized Patients with Diabetes ...

Feb 15, 2006 - Advertisement << Previous article Next article >> Feb 15, 2006 Issue Editorials New Standards to Reduce Morbidity and Mortality in Hospitalized Patients with Diabetes ALAN J. GARBER, M.D., PH.D., Baylor College of Medicine, Houston, Texas Am Fam Physician. 2006 Feb 15;73(4):591-594....

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0215/p591.html

Nonhormonal Therapies for Hot Flashes in Menopause - American Family Physician

Feb 1, 2006 - Numerous reports in the medical literature and popular media have discussed the effectiveness of various nonhormonal agents in reducing menopausal hot flash symptoms. Data for these therapies are limited, and most of the studies have been conducted in women with a history of breast ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p457.html

Vaginal Misoprostol for Cervical Ripening in Term Pregnancy - FPIN's Clinical Inquiries...

Feb 1, 2006 - Low-dose (25 mcg) intravaginal misoprostol appears to be safe and effective for cervical ripening in term pregnancy for patients without a history of cesarean section. Compared with other cervical ripening methods, misoprostol has an increased rate of vaginal delivery within 24 hours ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0201/p511.html

Are Alpha-glucosidase Inhibitors Effective for Control of Type 2 Diabetes? - Cochrane ...

Feb 1, 2006 - The use of alpha-glucosidase inhibitors has a modest effect on intermediate diabetes-control endpoints such as postprandial blood glucose, postprandial insulin levels, and A1C levels. There is no evidence, however, of improvement in mortality, morbidity, or quality of life. In ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0201/p433.html

Nonsteroidal Anti-inflammatory Drugs - Clinical Evidence Handbook - American Family ...

Feb 1, 2006 - Are there any important differences between available nonsteroidal anti-inflammatory drugs (NSAIDs)? What are the effects of cotreatments on reducing the risk of the adverse gastrointestinal effects of NSAIDs? What are the effects of topical NSAIDs?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0201/p507.html

Cochrane for Clinicians - Feb 1, 2006 - American Family Physician

Feb 1, 2006 - At high dosages, gabapentin is moderately effective for neuropathic pain, although adverse effects are experienced as often as benefit.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0201/p435.html

Cochrane for Clinicians - Feb 1, 2006 - American Family Physician

Feb 1, 2006 - Combined with methotrexate, subcutaneous adalimumab at a dosage of 40 mg every two weeks slows the progression of rheumatoid arthritis at one year. The combination is more effective than adalimumab monotherapy. Limited evidence suggests that adalimumab is also safe and effective when ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0201/p435a.html

Identifying Effective Alternative Therapies for Common Conditions - Editorials - ...

Feb 1, 2006 - Advertisement << Previous article Next article >> Feb 1, 2006 Issue Editorials Identifying Effective Alternative Therapies for Common Conditions JANE L. MURRAY, M.D. Sastun Center of Integrative Health Care, Mission, Kansas Am Fam Physician. 2006 Feb 1;73(3):396-398. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0201/p396.html

Hyperkalemia - American Family Physician

Jan 15, 2006 - Hyperkalemia is a potentially life-threatening metabolic problem caused by inability of the kidneys to excrete potassium, impairment of the mechanisms that move potassium from the circulation into the cells, or a combination of these factors. Acute episodes of hyperkalemia commonly are ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p283.html

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