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Evidence-Based Adjustment of Warfarin (Coumadin) Doses - Point-of-Care Guides - ...

May 15, 2005 - A previous Point-of-Care Guides article,1 presented several validated approaches to the initiation of anticoagulation therapy with warfarin. Once a patient is receiving warfarin, it is important to have a systematic approach to the management of anticoagulation and adjustment of ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0515/p1979.html

Improving the Quality of Care for Patients with Hypertension - Practice Guidelines - ...

May 15, 2005 - Advertisement << Previous article Next article >> May 15, 2005 Issue Practice Guideline Briefs Improving the Quality of Care for Patients with Hypertension Am Fam Physician. 2005 May 15;71(10):2008-2010. The Agency for Healthcare Research and Quality (AHRQ) of the U.S. Department of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0515/p2008.html

The Liability of Giving Patients a Choice: Shared Decision Making and Prostate Cancer -...

May 15, 2005 - Advertisement << Previous article Next article >> May 15, 2005 Issue Editorials The Liability of Giving Patients a Choice: Shared Decision Making and Prostate Cancer STEVEN H. WOOLF, M.D., M.P.H., and ALEX KRIST, M.D., Virginia Commonwealth University School of Medicine Richmond,...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0515/p1871.html

Diabetic Ketoacidosis - American Family Physician

May 1, 2005 - A diagnosis of diabetic ketoacidosis requires the patient's plasma glucose concentration to be above 250 mg per dL (although it usually is much higher), the pH level to be less than 7.30, and the bicarbonate level to be 18 mEq per L or less. Beta-hydroxybutyrate is a better measurement ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0501/p1705.html

Hyperosmolar Hyperglycemic State - American Family Physician

May 1, 2005 - Hyperosmolar hyperglycemic state is a life-threatening emergency manifested by marked elevation of blood glucose, hyperosmolarity, and little or no ketosis. With the dramatic increase in the prevalence of type 2 diabetes and the aging population, this condition may be encountered more ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0501/p1723.html

Management of Subclinical Hypothyroidism - FPIN's Clinical Inquiries - American Family ...

May 1, 2005 - Treatment of subclinical hypothyroidism with levothyroxine may be of most benefit to patients with symptoms suggestive of hypothyroidism and those patients with thyroid-stimulating hormone (TSH) levels higher than 10 μIU per mL (10 mIU per L) or positive anti-thyroid peroxidase (TPO) ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0501/p1763.html

Anticonvulsant Medications for Migraine Prevention - Cochrane for Clinicians - American...

May 1, 2005 - Good evidence supports the use of anticonvulsants as a class with overall reduction in number of headaches per month and overall increase in patients achieving 50 percent reduction of headache frequency. Of the medications within this heterogeneous group, valproic acid and divalproex ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0501/p1699.html

Fibroids (Uterine Myomatosis, Leiomyomas). - Clinical Evidence Handbook - American ...

May 1, 2005 - What are the effects of medical treatment alone? In women scheduled for fibroid surgery, what are the effects of preoperative medical treatments? What are the effects of surgical treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0501/p1753.html

Is Pharmacotherapy Useful in Social Phobia? - Cochrane for Clinicians - American Family...

May 1, 2005 - In adults, medications may improve the symptoms of social phobia in the short term, but their usefulness may be overstated because of publication bias. Selective serotonin reuptake inhibitors (SSRIs) have the strongest evidence of efficacy and the most favorable side-effect profile.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0501/p1700.html

Hyperglycemic Crises: Improving Prevention and Management - Editorials - American ...

May 1, 2005 - Advertisement << Previous article Next article >> May 1, 2005 Issue Editorials Hyperglycemic Crises: Improving Prevention and Management ABBAS E. KITABCHI, PH.D., M.D.,University of Tennessee Health Science Center,Memphis,Tennessee Am Fam Physician. 2005 May 1;71(9):1659-1660. See...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0501/p1659.html

Indications and Recommendations for Pacemaker Therapy - American Family Physician

Apr 15, 2005 - Each year, pacemaker therapy is prescribed to approximately 900,000 persons worldwide. Current pacemaker devices treat bradyarrhythmias and tachyarrhythmias and, in some cases, are combined with implantable defibrillators. In older patients, devices that maintain synchrony between atria...

American Family Physician : Article

https://www.aafp.org/afp/2005/0415/p1563.html

Ethinyl Estradiol/Levonorgestrel (Seasonale) for Oral Contraception - STEPS - American ...

Apr 15, 2005 - Women using ethinyl estradiol/levonorgestrel can expect similar or improved effectiveness and fewer menstrual cycles. Due in part to an increased incidence of unexpected bleeding in the first six months of use, a greater percentage of women will discontinue this regimen than will those ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0415/p1581.html

Practice Guidelines - Apr 15, 2005 - American Family Physician

Apr 15, 2005 - Advertisement << Previous article Next article >> Apr 15, 2005 Issue Practice Guideline Briefs MATTHEW J. NEFF Am Fam Physician. 2005 Apr 15;71(8):1612. Improving the Quality of Care for Adults with Type 2 Diabetes Mellitus The Agency for Healthcare Research and Quality (AHRQ) of the...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0415/p1612.html

Methadone Treatment for Pain States - American Family Physician

Apr 1, 2005 - Methadone is a synthetic opioid with potent analgesic effects. Although it is associated commonly with the treatment of opioid addiction, it may be prescribed by licensed family physicians for analgesia. Methadone's unique pharmacokinetics and pharmacodynamics make it a valuable option ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1353.html

IDSA Releases Guidelines on the Diagnosis and Treatment of Diabetic Foot Infections - ...

Apr 1, 2005 - Guidelines for the diagnosis and treatment of diabetic foot infections have been developed by the Infectious Diseases Society of America (IDSA). In persons with diabetes, foot infections can cause substantial morbidity and are the most common nontraumatic cause of amputations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0401/p1429.html

Antibiotics for Recurrent Urinary Tract Infections - Cochrane for Clinicians - American...

Apr 1, 2005 - Prophylactic antibiotics can reduce the number of recurrent UTIs in nonpregnant women while they are taking the medication (relative risk [RR], 0.21; number needed to treat [NNT], 2). No antibiotic was significantly better than others at decreasing the number of UTIs, and all ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0401/p1301.html

St. John's Wort for Depression - FPIN's Clinical Inquiries - American Family Physician

Apr 1, 2005 - St. John’s wort is safe and effective for short-term (six to eight weeks) relief of mild to moderate depression in adults.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0401/p1375.html

Cochrane for Clinicians - Apr 1, 2005 - American Family Physician

Apr 1, 2005 - Based on three good studies of 462 patients, discontinuing epidural analgesia in the second stage of labor does not significantly change rates of instrumented delivery or other delivery outcomes, but it increases rates of inadequate pain relief.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0401/p1303.html

Cochrane for Clinicians - Apr 1, 2005 - American Family Physician

Apr 1, 2005 - For empiric treatment of GERD or endoscopy-negative reflux disease, a short trial of a proton pump inhibitor increases the chance of remission. Histamine H2-receptor antagonists are less expensive and work well in many patients, particularly those with less severe symptoms or ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0401/p1303a.html

Medication Guide for Amiodarone - Practice Guidelines - American Family Physician

Apr 1, 2005 - Advertisement << Previous article Next article >> Apr 1, 2005 Issue Practice Guideline Briefs MATTHEW J. NEFF Am Fam Physician. 2005 Apr 1;71(7):1434. Medication Guide for Amiodarone The U.S Food and Drug Administration (FDA) has mandated a medication guide for amiodarone. In 2004,...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0401/p1434.html

Treatment of Vertigo - American Family Physician

Mar 15, 2005 - Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière's ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1115.html

Treatment of Cholesterol Abnormalities - American Family Physician

Mar 15, 2005 - Cardiovascular disease and its subset coronary heart disease are leading causes of morbidity and mortality in the United States and worldwide. In general, higher levels of low-density lipoprotein cholesterol are associated with an increased risk of coronary heart disease, myocardial ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1137.html

Oral Analgesics for Acute Nonspecific Pain - American Family Physician

Mar 1, 2005 - Physicians most often recommend or prescribe oral medication for relief of acute pain. This review of the available evidence supports the use of acetaminophen in doses up to 1,000 mg as the initial choice for mild to moderate acute pain. In some cases, modest improvements in analgesic ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0301/p913.html

Neonatal Jaundice - Clinical Evidence Handbook - American Family Physician

Mar 1, 2005 - What are the effects of treatments for unconjugated hyperbilirubinemia in term and preterm infants?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0301/p947.html

Antiplatelet Therapy and Anticoagulation in Patients with Hypertension - Cochrane for ...

Mar 1, 2005 - Antiplatelet agents should not be used in patients with hypertension and no previous history of heart attack or stroke. However, these agents are recommended for use in hypertensive patients who already have vascular disease. Anticoagulants should not be used for prevention of vascular ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0301/p897.html

Cochrane for Clinicians - Mar 1, 2005 - American Family Physician

Mar 1, 2005 - NPH insulin and metformin taken at bedtime appears to be the most favorable combination studied, but this conclusion is based on poor-quality, inconsistent studies that measure disease-oriented outcomes. There are no data on the effect of these drug combinations on patient-oriented ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0301/p899.html

Cochrane for Clinicians - Mar 1, 2005 - American Family Physician

Mar 1, 2005 - Treatment with betamimetics decreases the number of women with preterm labor who give birth within 48 hours, but it does not decrease the number of births within seven days. Limited evidence suggests that treatment with beta-mimetics does not decrease perinatal death or morbidity.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0301/p899a.html

Practice Guidelines - Mar 1, 2005 - American Family Physician

Mar 1, 2005 - Advertisement << Previous article Next article >> Mar 1, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Mar 1;71(5):1019-1020. Treatment of Migraine Headache in Children and Adolescents The American Academy of Neurology Quality Standards...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0301/p1019.html

Treatment of Panic Disorder - American Family Physician

Feb 15, 2005 - Panic disorder with or without agoraphobia occurs commonly in patients in primary care settings. This article assesses multiple evidence-based reviews of effective treatments for panic disorder. Antidepressant medications successfully reduce the severity of panic symptoms and eliminate ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p733.html

Management of Cluster Headache - American Family Physician

Feb 15, 2005 - Cluster headache, an excruciating, unilateral headache usually accompanied by conjunctival injection and lacrimation, can occur episodically or chronically, and can be difficult to treat. Existing effective treatments may be underused because of underdiagnosis of the syndrome. Oxygen ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p717.html

Evidence-Based Initiation of Warfarin (Coumadin) - Point-of-Care Guides - American ...

Feb 15, 2005 - Many physicians continue to use clinical judgment alone as the basis for initiating and adjusting warfarin dosages in patients who require oral anticoagulation. A number of studies have validated approaches to initiation of anticoagulation that provide more rapid anticoagulation with ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0215/p763.html

Treatment of Postherpetic Neuralgia - Practice Guidelines - American Family Physician

Feb 15, 2005 - Advertisement << Previous article Next article >> Feb 15, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Feb 15;71(4):808-810. Treatment of Postherpetic Neuralgia The Quality Standards Subcommittee of the American Academy of Neurology has...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0215/p808.html

Pain and Anxiety Treatment in Children During Emergencies - Practice Guidelines - ...

Feb 15, 2005 - Advertisement << Previous article Next article >> Feb 15, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Feb 15;71(4):810. Pain and Anxiety Treatment in Children During Emergencies The Committee on Pediatric Emergency Medicine and the Section...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0215/p810.html

Management of Hypertension in Older Persons - American Family Physician

Feb 1, 2005 - Antihypertensive therapy has been shown to reduce morbidity and mortality in older patients with elevated systolic or diastolic blood pressures. This benefit appears to persist in patients older than 80 years, but less than one third of older patients have adequate blood pressure ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p469.html

Antidepressants and Antiepileptic Drugs for Chronic Non-Cancer Pain - American Family ...

Feb 1, 2005 - The development of newer classes of antidepressants and second-generation antiepileptic drugs has created unprecedented opportunities for the treatment of chronic pain. These drugs modulate pain transmission by interacting with specific neurotransmitters and ion channels. The actions of...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p483.html

Ambulatory Detoxification of Patients with Alcohol Dependence - American Family Physician

Feb 1, 2005 - Detoxification from alcohol can be undertaken in ambulatory settings with patients who are alcohol-dependent and show signs of mild to moderate withdrawal when they are not drinking. An appropriate candidate for outpatient detoxification should have arrangements to start an alcohol ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p495.html

Treatments for Persistent Otitis Media with Effusion - FPIN's Clinical Inquiries - ...

Feb 1, 2005 - Treatments such as antibiotics, steroids, antihistamines/decongestants, and mucolytics afford no long-term benefit in the treatment of patients with otitis media with effusion (OME).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0201/p529.html

Irritable Bowel Syndrome - Clinical Evidence Handbook - American Family Physician

Feb 1, 2005 - What are the effects of treatments in people with irritable bowel syndrome (IBS)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0201/p525.html

Spinal Manipulative Therapy for Low Back Pain - Cochrane for Clinicians - American ...

Feb 1, 2005 - In the short term, manipulative therapy is as effective for acute or chronic low back pain as other treatments such as analgesics, physical therapy, exercises, back school, and routine care from a primary care physician. Radiation of pain, type of manipulation, and use of multiple ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0201/p464.html

ACG Releases Updated Practice Guidelines for Ulcerative Colitis in Adults - Practice ...

Feb 1, 2005 - Updated practice guidelines for the treatment of ulcerative colitis in adults have been issued by the American College of Gastroenterology's (ACG's) Practice Parameters Committee.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0201/p604.html

Delaying Antibiotics for Respiratory Infections - Cochrane for Clinicians - American ...

Feb 1, 2005 - Delayed prescribing appears to be a reasonable and safe option in patients with cough and in those who do not appear very ill, but it cannot be recommended for children with sore throat unless streptococcal pharyngitis has been ruled out. Delayed prescribing of antibiotics results in a ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0201/p466.html

Linking the Hospital and the Office in Cardiovascular Secondary Prevention - Editorials...

Feb 1, 2005 - Advertisement << Previous article Next article >> Feb 1, 2005 Issue Editorials Linking the Hospital and the Office in Cardiovascular Secondary Prevention KENNETH A. LABRESH, M.D., MassPRO, Inc., Waltham, Massachusetts PATRICIA A. TYLER, R.N., C.C.R.N., American Heart Association...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0201/p430.html

Practice Guidelines - Feb 1, 2005 - American Family Physician

Feb 1, 2005 - Advertisement << Previous article Next article >> Feb 1, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Feb 1;71(3):615. Assisted Reproductive Technology Statistics More than 40,000 infants were born in 2001 as a result of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0201/p615.html

Practice Guidelines - Feb 1, 2005 - American Family Physician

Feb 1, 2005 - Advertisement << Previous article Next article >> Feb 1, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Feb 1;71(3):615. AHA Report on Response to Cardiac Arrest The American Heart Association (AHA) has developed a medical emergency response...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0201/p615a.html

Management of Epistaxis - American Family Physician

Jan 15, 2005 - Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p305.html

Selecting Medications for the Treatment of Urinary Incontinence - American Family ...

Jan 15, 2005 - In response to the growing population of older patients with incontinence, pharmaceutical companies are developing new drugs to treat the condition. Before prescribing medications for incontinence, however, physicians should determine the nature and cause of the patient's incontinence. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p315.html

Dysmenorrhea - American Family Physician

Jan 15, 2005 - Dysmenorrhea is the leading cause of recurrent short-term school absence in adolescent girls and a common problem in women of reproductive age. Risk factors for dysmenorrhea include nulliparity, heavy menstrual flow, smoking, and depression. Empiric therapy can be initiated based on a ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p285.html

Omalizumab (Xolair) for Treatment of Asthma - STEPS - American Family Physician

Jan 15, 2005 - Omalizumab is an immunomodulatory therapy for the control of symptoms in patients with moderate to severe allergic asthma uncontrolled with conventional therapy. Given its high cost, the requirement that it be administered in a physician’s office, and side effects, it is appropriate for...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0115/p341.html

ACCP Guidelines for Pulmonary Arterial Hypertension - Practice Guidelines - American ...

Jan 15, 2005 - The American College of Chest Physicians (ACCP) has released evidence-based practice guidelines for the early detection and diagnosis of pulmonary arterial hypertension (PAH).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0115/p383.html

Guidelines for Prescribing Antiepileptic Drugs - Practice Guidelines - American Family ...

Jan 15, 2005 - Advertisement << Previous article Next article >> Jan 15, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Jan 15;71(2):384-386. Guidelines for Prescribing Antiepileptic Drugs The American Academy of Neurology (AAN) has released evidence-based...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0115/p384.html

Insertion and Removal of Intrauterine Devices - American Family Physician

Jan 1, 2005 - The intrauterine device (IUD) is an effective contraceptive for many women. The copper-releasing IUD can be used for 10 years before replacement and is a good choice for women who cannot, or choose not to, use hormone-releasing contraceptives. However, some women experience an increase ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p95.html

Procedural Sedation in the Acute Care Setting - American Family Physician

Jan 1, 2005 - Many patients require sedation during diagnostic or therapeutic procedures. Ideally, procedural sedation minimizes the patient's awareness and discomfort while maintaining the patient's safety. Appropriate monitoring by trained personnel is the key to successful procedural sedation. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p85.html

Intravenous Fluids for Children with Gastroenteritis - FPIN's Clinical Inquiries - ...

Jan 1, 2005 - Most children with gastroenteritis do not require intravenous fluids and will respond favorably to ORT. Intravenous fluids do not shorten the duration of gastroenteritis and are more likely to cause adverse effects than ORT.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0101/p121.html

Neck Pain - Clinical Evidence Handbook - American Family Physician

Jan 1, 2005 - What are the effects of treatments for uncomplicated neck pain without severe neurologic deficit? What are the effects of treatments for acute and chronic whiplash injury? What are the effects of treatments for neck pain with radiculopathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0101/p117.html

Antidepressants and Smoking Cessation - Cochrane for Clinicians - American Family ...

Jan 1, 2005 - Bupropion and nortriptyline increase the likelihood of smoking cessation, but selective serotonin reuptake inhibitors (SSRIs) do not.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0101/p67.html

Hormonal Contraceptives and Weight Gain - Cochrane for Clinicians - American Family ...

Jan 1, 2005 - There is no causal relationship between combination contraceptives and weight gain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0101/p68.html

Glucocorticoids for Treatment of Croup - Cochrane for Clinicians - American Family ...

Jan 1, 2005 - Compared with placebo, treatment with glucocorticoids results in reduced symptoms, less need for treatment with racemic epinephrine, fewer readmissions to emergency departments, and shorter hospital stays.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0101/p66.html

Diagnosis and Management of Preeclampsia - American Family Physician

Dec 15, 2004 - Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood pressure ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2317.html

Management of Genital Warts - American Family Physician

Dec 15, 2004 - Genital warts caused by human papillomavirus infection are encountered commonly in primary care. Evidence guiding treatment selection is limited, but treatment guidelines recently have changed. Biopsy, viral typing, acetowhite staining, and other diagnostic measures are not routinely ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2335.html

Transdermal Oxybutynin (Oxytrol) for Urinary Incontinence - STEPS - American Family ...

Dec 15, 2004 - The transdermal patch of oxybutynin is no more effective than the short- or long-acting oral form. The patch costs more, but causes less dry mouth. Skin reactions will cause about 10 percent of patients to stop using it.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/1215/p2351.html

Recommendations to Reduce Obesity in Children and Adolescents - Practice Guidelines - ...

Dec 15, 2004 - The Institute of Medicine of the National Academies has released recommendations that aim to reduce obesity in children and adolescents, by increasing and improving opportunities for children to engage in physical activity and eat a healthy diet.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1215/p2377.html

Management of Vaginitis - American Family Physician

Dec 1, 2004 - Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Vaginitis also can occur because of atrophic changes. Bacterial vaginosis is caused by proliferation of Gardnerella vaginalis, Mycoplasma hominis, and anaerobes. The diagnosis...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2125.html

Outpatient Treatment of Systolic Heart Failure - American Family Physician

Dec 1, 2004 - Optimal outpatient treatment of systolic heart failure has three goals that should be pursued simultaneously: (1) control of risk factors for the development and progression of heart failure, (2) treatment of heart failure, and (3) education of patients. Control of risk factors includes...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2157.html

Antidepressant Medications in Pregnancy - FPIN's Clinical Inquiries - American Family ...

Dec 1, 2004 - Selective serotonin reuptake inhibitors (SSRIs) are considered first-line agents for the treatment of depression in pregnant women. SSRIs and tricyclic antidepressants (TCAs) are considered safe and effective in pregnant women, although some studies have indicated increased short-term ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/1201/p2195.html

Pharmacologic and Surgical Treatment of Obesity - Practice Guidelines - American Family...

Dec 1, 2004 - The Agency for Healthcare Research and Quality (AHRQ) has released a new report entitled, Pharmacological and Surgical Treatment of Obesity.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1201/p2225.html

Tegaserod in Patients with Irritable Bowel Syndrome - Cochrane for Clinicians - ...

Dec 1, 2004 - Tegaserod offers modest improvement in global gastrointestinal (GI) symptoms in women with constipation-predominant IBS, without having significant effect on symptoms of abdominal pain and discomfort.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1201/p2107.html

Cochrane for Clinicians - Dec 1, 2004 - American Family Physician

Dec 1, 2004 - Combined evidence from two clinical trials of calcium supplementation lasting for several years revealed a reduced rate of recurrent colorectal adenoma. However, evidence is insufficient to recommend supplementation with dietary calcium for patients who have never had an adenoma.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1201/p2109.html

Obsessive-Compulsive Disorder - Clinical Evidence Handbook - American Family Physician

Dec 1, 2004 - What are the effects of initial treatments in adults? What are the best forms of maintenance treatment in adults? What are the effects of treatments in adults who have not responded to initial treatment with serotonin reuptake inhibitors?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/1201/p2183.html

Management of Cervical Cytologic Abnormalities - American Family Physician

Nov 15, 2004 - The American Society for Colposcopy and Cervical Pathology developed guidelines in 2001 for the management of cervical cytologic abnormalities. The guidelines incorporate the Bethesda System 2001 terminology and data from randomized studies of atypical squamous cells, low-grade ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1905.html

ACC/AHA Release Guidelines on Management of Patients with STEMI: Hospital and Long-Term...

Nov 15, 2004 - Guidelines for the management of ST-elevation myocardial infarction (STEMI), with a focus on hospital and long-term management, are available from the American College of Cardiology/American Heart Association (ACC/AHA) Task Force on Practice Guidelines.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1115/p2011.html

Prognosis for Patients Undergoing Coronary Angioplasty - Point-of-Care Guides - ...

Nov 15, 2004 - Percutaneous coronary interventions, such as balloon angioplasty, with or without stent placement, are important in the treatment of patients with coronary artery disease.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/1115/p1966.html

Overcoming the Challenges Facing Quality Improvement Strategies for Non-ST-Segment ...

Nov 15, 2004 - Advertisement << Previous article Next article >> Nov 15, 2004 Issue Editorials Overcoming the Challenges Facing Quality-Improvement Strategies for Non–ST-Segment Elevation Acute Coronary Syndromes MATTHEW T. ROE, M.D., M.H.S., and ERIC D. PETERSON, M.D., M.P.H. Duke University...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/1115/p1868.html

The 2001 ASCCP Management Guidelines for Cervical Cytology - Editorials - American ...

Nov 15, 2004 - Advertisement << Previous article Next article >> Nov 15, 2004 Issue Editorials The 2001 ASCCP Management Guidelines for Cervical Cytology DARON G. FERRIS, M.D., Medical College of Georgia, Augusta, Georgia Am Fam Physician. 2004 Nov 15;70(10):1866-1868. Related Article Shortly...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/1115/p1866.html

Practice Guidelines - Nov 15, 2004 - American Family Physician

Nov 15, 2004 - Advertisement << Previous article Next article >> Nov 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Nov 15;70(10):2021. Strategy to Strengthen Safeguards for Children Treated with Antidepressants The U.S. Food and Drug Administration...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1115/p2021a.html

Practice Guidelines - Nov 15, 2004 - American Family Physician

Nov 15, 2004 - Advertisement << Previous article Next article >> Nov 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Nov 15;70(10):2021-2026. Updated CDC Influenza Vaccination Recommendations The Centers for Disease Control and Prevention (CDC) has...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1115/p2021.html

Acute Bacterial Rhinosinusitis in Adults: Part II. Treatment - American Family Physician

Nov 1, 2004 - Although most cases of acute rhinosinusitis are caused by viruses, acute bacterial rhinosinusitis is a fairly common complication. Even though most patients with acute rhinosinusitis recover promptly without it, antibiotic therapy should be considered in patients with prolonged or more ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1697.html

Common Dietary Supplements for Weight Loss - American Family Physician

Nov 1, 2004 - Over-the-counter dietary supplements to treat obesity appeal to many patients who desire a 'magic bullet' for weight loss. Asking overweight patients about their use of weight-loss supplements and understanding the evidence for the efficacy, safety, and quality of these supplements are ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1731.html

NSAIDs vs. Opiates for Pain in Acute Renal Colic - Cochrane for Clinicians - American ...

Nov 1, 2004 - Data from randomized controlled trials comparing NSAIDs with opiates show that NSAIDs are associated with lower pain scores, less need for additional rescue medication, and less vomiting (particularly when compared with meperidine).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1101/p1682.html

Donepezil in the Treatment of Vascular Dementia - Cochrane for Clinicians - American ...

Nov 1, 2004 - Donepezil in a dosage of 10 mg daily provides a small benefit in patients with mild to moderate vascular dementia and generally is well tolerated.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1101/p1681.html

ACC/AHA Release Guidelines on Management of Patients with STEMI: Hospital and Long-Term...

Nov 1, 2004 - Guidelines for the management of ST-elevation myo-cardial infarction (STEMI), focusing on prevention and management in the emergency department, are available from the American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Practice Guidelines.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1101/p1800.html

Interventions for Impetigo - Cochrane for Clinicians - American Family Physician

Nov 1, 2004 - The topical antibiotic mupirocin is as effective or possibly more effective than oral treatment in patients with limited disease. For practical reasons, oral antibiotics such as penicillins, cephalosporins, and macrolides often are used in patients with extensive disease, but there is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1101/p1680.html

Otitis Externa - Clinical Evidence Handbook - American Family Physician

Nov 1, 2004 - What are the effects of empirical treatment?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/1101/p1741.html

Rhinosinusitis: What Is the Desired Outcome? - Editorials - American Family Physician

Nov 1, 2004 - Advertisement << Previous article Next article >> Nov 1, 2004 Issue Editorials Rhinosinusitis: What Is the Desired Outcome? DAN MERENSTEIN, M.D., Johns Hopkins University, Baltimore, Maryland Am Fam Physician. 2004 Nov 1;70(9):1642-1645. Related Article Antibiotics are no longer...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/1101/p1642.html

NCEP Issues Interim Guidelines on Management of Cholesterol - Practice Guidelines - ...

Oct 15, 2004 - The National Cholesterol Education Program (NCEP) recently issued interim guidelines as an addendum to the 2002 Adult Treatment Panel III (ATP III) guidelines regarding the management of cholesterol.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1015/p1591.html

Management of Acute Nasal Fractures - American Family Physician

Oct 1, 2004 - In cases of facial trauma, nasal fractures account for approximately 40 percent of bone injuries. Treatment in the primary care setting begins with evaluating the injury, taking an accurate history of the situation in which the injury occurred, and ascertaining how the face and nose ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1315.html

Pharmacologic Prevention of Osteoporotic Fractures - American Family Physician

Oct 1, 2004 - Osteoporosis is characterized by low bone mineral density and a deterioration in the microarchitecture of bone that increases its susceptibility to fracture. The World Health Organization defines osteoporosis as a bone mineral density that is 2.5 standard deviations or more below the ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1293.html

Optimal Dosage of Tricyclic Antidepressants - Cochrane for Clinicians - American Family...

Oct 1, 2004 - Although the quality of the data limits the strength of the recommendation, current evidence shows that 75 to 100 mg per day of a tricyclic antidepressant is more effective than placebo. Higher dosages are not more effective and are associated with more dropouts because of side effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1001/p1270.html

Drug Treatments for Patients with Dysthymia - Cochrane for Clinicians - American Family...

Oct 1, 2004 - All antidepressants studied have similar efficacy in the treatment of patients with dysthymia. Side effect profiles vary. The largest comparisons support the use of tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1001/p1269.html

What Is the Best Antiviral Agent for Influenza Infection? - FPIN's Clinical Inquiries -...

Oct 1, 2004 - Four antiviral agents have been approved by the U.S. Food and Drug Administration for the treatment of influenza infection: amantadine (Symmetrel), oseltamivir (Tamiflu), rimantadine (Flumadine), and zanamivir (Relenza). No head-to-head trials have compared the effectiveness of these ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/1001/p1331.html

Benign Prostatic Hyperplasia - Clinical Evidence Handbook - American Family Physician

Oct 1, 2004 - What are the effects of treatment?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/1001/p1325.html

Osteoporosis Management: Out of Subspecialty Practice and into Primary Care - ...

Oct 1, 2004 - Advertisement << Previous article Next article >> Oct 1, 2004 Issue Editorials Osteoporosis Management: Out of Subspecialty Practice and into Primary Care MARGARET GOURLAY, M.D., M.P.H., University of North Carolina at Chapel Hill, Department of Family Medicine, Chapel Hill, North...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/1001/p1219.html

Asthma Update: Part II. Medical Management - American Family Physician

Sep 15, 2004 - The National Asthma Education and Prevention Program recently updated its guidelines for the management of asthma. An evidence-based approach was used to examine several key issues regarding appropriate medical therapy for patients with asthma. The updated guidelines have clarified ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1061.html

Management of Normal Pressure Hydrocephalus - American Family Physician

Sep 15, 2004 - Gait instability, urinary incontinence, and dementia are the signs and symptoms typically found in patients who have normal pressure hydrocephalus. Estimated to cause no more than 5 percent of cases of dementia, normal pressure hydrocephalus often is treatable, and accurate recognition ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1071.html

Recommendations for Prescribing New Antiepileptic Drugs - Practice Guidelines - ...

Sep 15, 2004 - According to a meta-analysis by the American Academy of Neurology (AAN) and the American Epilepsy Society (AES), several new antiepileptic drugs (AEDs) are effective in treating selected patients with partial or mixed seizure disorders, but evidence for their efficacy in patients with ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0915/p1167.html

Telithromycin (Ketek) for Respiratory Tract Infections - STEPS - American Family Physician

Sep 15, 2004 - Telithromycin is similar to azithromycin and clarithromycin in side effects, dosing, and cost, but with enhanced activity against S. pneumoniae. Although 30 to 40 percent of S. pneumoniae cases are thought to be resistant to penicillin and/or macrolides, additional clinical trials are ...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0915/p1121.html

Practice Guidelines - Sep 15, 2004 - American Family Physician

Sep 15, 2004 - Advertisement << Previous article Next article >> Sep 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Sep 15;70(6):1168-1171. Updated Guideline on Jaundice in Newborns The Subcommittee on Hyperbilirubinemia of the American Academy of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0915/p1168a.html

Practice Guidelines - Sep 15, 2004 - American Family Physician

Sep 15, 2004 - Advertisement << Previous article Next article >> Sep 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Sep 15;70(6):1168. Influenza Vaccination Among Health Care Workers The National Foundation for Infectious Diseases (NFID) has issued a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0915/p1168.html

Treatment of Infants with HIV-1 Infection - Practice Guidelines - American Family ...

Sep 15, 2004 - Advertisement << Previous article Next article >> Sep 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Sep 15;70(6):1171-1172. Treatment of Infants with HIV-1 Infection The Committee on Pediatric AIDS (acquired immunodeficiency syndrome) of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0915/p1171.html

Which Patients with Atrial Fibrillation Do Not Need Anticoagulation Therapy with ...

Sep 1, 2004 - Anticoagulation therapy with warfarin is not indicated for use in patients with non-valvular atrial fibrillation who are at low risk for embolic cerebral vascular events. The classification of low risk for embolic stroke is defined as a 1 percent annual risk for stroke or lone atrial ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0901/p917.html

Home Oxygen Therapy for Treatment of Patients with Chronic Obstructive Pulmonary ...

Sep 1, 2004 - There is good evidence that the addition of home long-term continuous oxygen therapy for COPD increases survival rates in patients with severe hypoxemia (i.e., O2 saturation of less than 90 percent or partial pressure of arterial oxygen [PaO2] of less than 8 kPa per 60 mm Hg) but not in...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0901/p864.html

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