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Genital Herpes - Clinical Evidence Handbook - American Family Physician

Sep 1, 2004 - What are the effects of interventions to prevent transmission and which reduce the impact of recurrence? What are the effects of treatments in people with a first episode of genital herpes? What are the effects of treatments in people with genital herpes and HIV infection?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0901/p912.html

Effect of Exercise Intensity on Osteoarthritis - Cochrane for Clinicians - American ...

Sep 1, 2004 - Although land-based exercise improves physical function, there is no evidence that high-intensity cycling offers benefits over low-intensity cycling for patients with osteoarthritis of the knee.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0901/p865.html

Intensive Management of Gestational Diabetes - Cochrane for Clinicians - American ...

Sep 1, 2004 - There is not enough evidence to support dietary or drug treatment in patients with gestational diabetes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0901/p866.html

Management of Patients with Newly Diagnosed Epilepsy: A Systematic Literature Review - ...

Sep 1, 2004 - Advertisement << Previous article Next article >> Sep 1, 2004 Issue Editorials Management of Patients with Newly Diagnosed Epilepsy: A Systematic Literature Review SUSAN ROSS, M.D., and RHONDA P. ESTOK, R.N., B.S.N., MetaWorks, Inc., Medford, Massachusetts SAMEER S. CHOPRA, M.A.,...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0901/p824.html

Emergency Contraception - American Family Physician

Aug 15, 2004 - Women can use emergency contraception to prevent pregnancy after known or suspected failure of birth control or after unprotected intercourse. Many patients do not ask for emergency contraception because they do not know of its availability. Emergency contraception has been an off-label...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p707.html

Allergen Immunotherapy - American Family Physician

Aug 15, 2004 - Allergen immunotherapy (also called allergy vaccine therapy) involves the administration of gradually increasing quantities of specific allergens to patients with IgE-mediated conditions until a dose is reached that is effective in reducing disease severity from natural exposure. The ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p689.html

ACP Releases Guideline on Lipid Control in Patients with Type 2 Diabetes Mellitus - ...

Aug 15, 2004 - A guideline on the management of dyslipidemia, particularly hypercholesterolemia, in patients with type 2 diabetes mellitus has been published by the Clinical Efficacy Assessment Subcommittee of the American College of Physicians (ACP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0815/p775.html

Emergency Contraception: An Ongoing Debate - Editorials - American Family Physician

Aug 15, 2004 - Advertisement << Previous article Next article >> Aug 15, 2004 Issue Editorials Emergency Contraception: An Ongoing Debate CAROLINE WELLBERY M.D., Georgetown University School of Medicine, Washington, D.C. Am Fam Physician. 2004 Aug 15;70((4)):655-659. Related Article From a...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0815/p655.html

Treatment of Degenerative Lumbar Spinal Stenosis - American Family Physician

Aug 1, 2004 - Spinal stenosis is a narrowing of the vertebral canal that compresses spinal nerves and may cause leg pain and difficulty walking. The symptoms of degenerative lumbar stenosis commonly occur in elderly adults and can be treated conservatively with pain-relieving agents or aggressively ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0801/p517.html

Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell...

Aug 1, 2004 - Type 2 diabetes is characterized by progressive beta-cell failure. Indications for exogenous insulin therapy in patients with this condition include acute illness or surgery, pregnancy, glucose toxicity, contraindications to or failure to achieve goals with oral antidiabetic ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0801/p489.html

Unstable Angina and Non-ST- Segment Elevation Myocardial Infarction: Part I. Initial ...

Aug 1, 2004 - Each year, more than 1 million patients are admitted to U.S. hospitals because of unstable angina and non-ST-segment elevation myocardial infarction (UA/NSTEMI). To help standardize the assessment and treatment of these patients, the American College of Cardiology and the American Heart...

American Family Physician : Article

https://www.aafp.org/afp/2004/0801/p525.html

Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part II. Coronary ...

Aug 1, 2004 - In the guideline developed by the American College of Cardiology and the American Heart Association, the management of suspected unstable angina and non–ST-segment elevation myocardial infarction (UA/NSTEMI) has four components: initial evaluation and management; hospital care; coronary...

American Family Physician : Article

https://www.aafp.org/afp/2004/0801/p535.html

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

Aug 1, 2004 - What are the effects of treatment in people without chronic respiratory disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0801/p557.html

Exercise-Based Rehabilitation for Coronary Heart Disease - Cochrane for Clinicians - ...

Aug 1, 2004 - Cardiac rehabilitation based on exercise alone and comprehensive cardiac rehabilitation reduce all-cause mortality by about one third. It is unclear which type of rehabilitation is more beneficial.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0801/p485.html

Antihistamines for the Common Cold - Cochrane for Clinicians - American Family Physician

Aug 1, 2004 - Antihistamines are of minimal to no benefit as mono-therapy for the common cold, and first-generation antihistamines may increase sedation in patients with a cold. Antihistamine-decongestant combinations reduce nasal symptoms and improve the recovery rate in older children and adults, ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0801/p486.html

Practice Guidelines - Aug 1, 2004 - American Family Physician

Aug 1, 2004 - Advertisement << Previous article Next article >> Aug 1, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Aug 1;70(3):601. Nausea and Vomiting in Pregnancy The American College of Obstetricians and Gynecologists (ACOG) has released a new...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p601.html

Practice Guidelines - Aug 1, 2004 - American Family Physician

Aug 1, 2004 - Advertisement << Previous article Next article >> Aug 1, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Aug 1;70(3):601. Use of Transcranial Doppler Ultrasonography The Therapeutics and Technology Assessment Subcommittee of the American...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p601a.html

Practice Guidelines - Aug 1, 2004 - American Family Physician

Aug 1, 2004 - Advertisement << Previous article Next article >> Aug 1, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Aug 1;70(3):601-602. Increases in Fluoroquinolone-Resistant Neisseria Gonorrhoeae The Centers for Disease Control and Prevention (CDC) has...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p601b.html

Tadalafil (Cialis) for Erectile Dysfunction - STEPS - American Family Physician

Jul 15, 2004 - Like other PDE5 inhibitors, tadalafil effectively improves the ability of men with erectile dysfunction to achieve an erection and successfully complete intercourse. It is less effective, although still useful, in some men with ED due to diabetes. Its longer duration may require less ...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0715/p359.html

NAMS Releases Position Statement on the Treatment of Vasomotor Symptoms Associated with...

Jul 15, 2004 - The North American Menopause Society (NAMS) has released an evidence-based position statement on the treatment of vasomotor symptoms associated with menopause to provide recommendations on the most effective treatments.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p393.html

Practice Guidelines - Jul 15, 2004 - American Family Physician

Jul 15, 2004 - Advertisement << Previous article Next article >> Jul 15, 2004 Issue Practice Guideline Briefs Treatment of Infantile Spasms CARRIE MORANTZ, BRIAN TORREY Am Fam Physician. 2004 Jul 15;70(2):399. Treatment of Infantile Spasms The American Academy of Neurology and the Child Neurology...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p399.html

Practice Guidelines - Jul 15, 2004 - American Family Physician

Jul 15, 2004 - Advertisement << Previous article Next article >> Jul 15, 2004 Issue Practice Guideline Briefs Treatment of Infantile Spasms CARRIE MORANTZ, BRIAN TORREY Am Fam Physician. 2004 Jul 15;70(2):399-400. Dystocia and Augmentation of Labor The American College of Obstetricians and...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p399a.html

Management of Corneal Abrasions - American Family Physician

Jul 1, 2004 - Corneal abrasions result from cutting, scratching, or abrading the thin, protective, clear coat of the exposed anterior portion of the ocular epithelium. These injuries cause pain, tearing, photophobia, foreign body sensation, and a gritty feeling. Symptoms can be worsened by exposure ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p123.html

Omega-3 Fatty Acids - American Family Physician

Jul 1, 2004 - Omega-3 fatty acids have been shown to significantly reduce the risk for sudden death caused by cardiac arrhythmias and all-cause mortality in patients with known coronary heart disease. Fatty fish, such as salmon and tuna, and fish oil are rich sources of the omega-3 fatty acids ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p133.html

Asthma - Clinical Evidence Handbook - American Family Physician

Jul 1, 2004 - What are the effects of treatments for chronic and acute asthma?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0701/p143.html

Effects of Omega-3 Fatty Acids on Cardiovascular Health - Editorials - American Family ...

Jul 1, 2004 - Advertisement << Previous article Next article >> Jul 1, 2004 Issue Effects of Omega-3 Fatty Acids on Cardiovascular Health LAWRENCE J. APPEL, M.D., M.P.H. Johns Hopkins Medical Institutions Baltimore, Maryland Am Fam Physician. 2004 Jul ;70(1):34-35. Related Article The potential...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0701/p34.html

Intensive Management of Gestational Diabetes - Cochrane for Clinicians - American ...

Jul 1, 2004 - Advertisement << Previous article Next article >> Jul 1, 2004 Issue Cochrane Briefs Am Fam Physician. 2004 Jul 1;70(1):84. Intensive Management of Gestational Diabetes Clinical Question Does intensive management of gestational diabetes improve outcomes? Evidence-Based Answer There is...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0701/p84.html

DVT and Pulmonary Embolism: Part II. Treatment and Prevention - American Family Physician

Jun 15, 2004 - Treatment goals for deep venous thrombosis include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of pulmonary embolism, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. About 30 ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2841.html

Tiotropium (Spiriva) for COPD - STEPS - American Family Physician

Jun 15, 2004 - Tiotropium improves dyspnea, decreases COPD exacerbations and hospitalizations, decreases albuterol use, improves health-related quality of life and increases mean trough FEV1. Tiotropium was more effective than ipratropium and salmeterol in improving TDI scores. It was more effective ...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0615/p2901.html

Therapy for Speech and Language Delay - Cochrane for Clinicians - American Family ...

Jun 15, 2004 - Speech and language therapy is effective in children who have problems with expressive vocabulary and pronunciation. There is insufficient evidence regarding interventions for receptive disorders and mixed results for interventions to improve expressive grammar and sentence structure.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0615/p2823.html

Neuraminidase Inhibitors for Treatment of Influenza - Cochrane for Clinicians - ...

Jun 15, 2004 - Oseltamivir and zanamivir reduce the duration of illness by up to one day if taken within 36 hours of symptom onset. Oseltamivir (and, probably, zanamivir) also reduces the likelihood of otitis media as a complication of influenza (number needed to treat, approximately 10). There were ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0615/p2824.html

Acute Otitis Media in Children - Point-of-Care Guides - American Family Physician

Jun 15, 2004 - The American Academy of Pediatrics and the American Academy of Family Physicians recently released an evidence-based practice guideline to help physicians provide the most up-to-date care for children with AOM. The subcommittee that developed the guideline included primary care ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0615/p2896.html

Preventing Unintended Pregnancy: Implications for Physicians - Editorials - American ...

Jun 15, 2004 - Advertisement << Previous article Next article >> Jun 15, 2004 Issue Editorials Preventing Unintended Pregnancy: Implications for Physicians RUTH LESNEWSKI, M.D., Institute for Urban Family Health New York, New York Am Fam Physician. 2004 Jun 15;69(12):2779-2782. The U.S. Preventive...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0615/p2779.html

Sialorrhea--A Management Challenge - American Family Physician

Jun 1, 2004 - Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson's disease or have had a stroke. It is most commonly caused by poor oral and facial muscle ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2628.html

Prevention and Treatment of Overweight in Children and Adolescents - American Family ...

Jun 1, 2004 - Overweight in childhood and adolescence is an important public health issue because of its rapidly increasing prevalence and associated adverse medical and social consequences. Recent studies have estimated that 15 percent of children in the United States are at risk for overweight, and...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2591.html

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

Jun 1, 2004 - What are the effects of treatments in people with clinically diagnosed acute sinusitis?What are the effects of treatments in people with radiologically or bacteriologically confirmed acute sinusitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0601/p2635.html

Management of Hyponatremia - American Family Physician

May 15, 2004 - Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Hyponatremia can be classified according to the volume status of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2387.html

Cryosurgery for Common Skin Conditions - American Family Physician

May 15, 2004 - Cryosurgery is a highly effective treatment for a broad range of benign skin problems. With appropriate instruction and supervised experience, family physicians can master the technique quickly. Cryosurgery is best suited for use in patients with light skin and for treatment of lesions ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2365.html

Which Antidepressant Is Best to Avoid Sexual Dysfunction? - FPIN's Clinical Inquiries -...

May 15, 2004 - Bupropion (Wellbutrin), nefazodone (Serzone), amitriptyline (Elavil), and moclobemide (Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States) have been shown to cause less sexual dysfunction than selective serotonin reuptake inhibitors (SSRIs).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0515/p2419.html

Ethinyl Estradiol/Drospirenone (Yasmin): A Newer Oral Contraceptive - STEPS - American ...

May 15, 2004 - An effective oral contraceptive, ethinyl estradiol/drospirenone can elevate potassium levels when given in combination with other potassium-elevating agents and offers no advantage over traditional oral contraceptives.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0515/p2425.html

AAFP and ACP Release Practice Guideline on Management of Newly Detected Atrial ...

May 15, 2004 - The Joint Panel of the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP) have developed recommendations for adult patients with first-detected atrial fibrillation.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0515/p2474.html

Management of Newly Detected Atrial Fibrillation - Editorials - American Family Physician

May 15, 2004 - Advertisement << Previous article Next article >> May 15, 2004 Issue Editorials Management of Newly Detected Atrial Fibrillation Michael L. Lefevre, M.D., M.S.P.H., University of Missouri–Columbia Columbia, Missouri Am Fam Physician. 2004 May 15;69(10):2314-2321. Related Content...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0515/p2314.html

Vaginal Estrogen Preparations for Relief of Atrophic Vaginitis - Cochrane for ...

May 1, 2004 - Vaginal estrogen preparations are safe and effective as short-term treatment in patients with vaginal atrophy who are not candidates for systemic hormone therapy. Compared with estradiol products, conjugated equine estrogen creams may be associated with a higher incidence of adverse ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0501/p2111.html

Atrial Fibrillation (Acute) - Clinical Evidence Handbook - American Family Physician

May 1, 2004 - What are the effects of interventions to prevent embolism? What are the effects of interventions for conversion to sinus rhythm? What are the effects of interventions to control heart rate?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0501/p2173.html

Teriparatide (Forteo) for Osteoporosis - STEPS - American Family Physician

Apr 15, 2004 - Teriparatide increases bone density in men and women with osteoporosis and has reduced the risk of new vertebral fractures in high-risk women. Its role in therapy is not clear. Due to its uncertain safety profile, lack of long-term experience, and high cost, it makes sense to reserve ...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0415/p1983.html

Shoulder Dystocia - American Family Physician

Apr 1, 2004 - Shoulder dystocia can be one of the most frightening emergencies in the delivery room. Although many factors have been associated with shoulder dystocia, most cases occur with no warning. Calm and effective management of this emergency is possible with recognition of the impaction and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1707.html

Atypical Pathogens and Challenges in Community-Acquired Pneumonia - American Family ...

Apr 1, 2004 - Atypical organisms such as Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila are implicated in up to 40 percent of cases of community-acquired pneumonia. Antibiotic treatment is empiric and includes coverage for both typical and atypical organisms. Doxycycline, a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1699.html

Transient Ischemic Attacks: Part II. Treatment - American Family Physician

Apr 1, 2004 - Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. Blood pressure, lipid levels, and diabetes mellitus should be controlled. When applicable, smoking cessation and weight loss also are important. Angiotensin-converting enzyme inhibitor ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1681.html

Bipolar Disorder - Clinical Evidence Handbook - American Family Physician

Apr 1, 2004 - What are the effects of treatments in mania and bipolar depression? What are the effects of interventions to prevent relapse?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0401/p1715.html

ACS Releases Guidelines on Nutrition and Physical Activity During and After Cancer ...

Apr 1, 2004 - The American Cancer Society (ACS) issued a report discussing optimal nutrition and physical activity issues during the phases of cancer treatment and recovery, living after recovery from treatment, and living with advanced cancer.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0401/p1803.html

Alcohol Withdrawal Syndrome - American Family Physician

Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1443.html

Management of Hepatitis C: Evaluating Suitability for Drug Therapy - American Family ...

Mar 15, 2004 - Chronic hepatitis C virus infection is a common and serious disease. Although an estimated 2.7 million persons in the United States have this disease, most have not yet been diagnosed. Recent advances in treatment provide successful cure in 50 to 80 percent of cases. Current drug ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1429.html

ACOG Releases Guidelines for Clinical Management of Osteoporosis - Practice Guidelines ...

Mar 15, 2004 - The American College of Obstetricians and Gynecologists (ACOG) recently issued guidelines for the clinical management of osteoporosis in women, including recommendations for screening, prevention, and treatment.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0315/p1558.html

Memantine (Namenda) for Moderate to Severe Alzheimer's Disease - STEPS - American ...

Mar 15, 2004 - Memantine is well tolerated, but its clinical benefits for the treatment of moderate to severe AD appear modest. The reduction in caregiver time requires confirmation in another trial. As with other drugs for AD, memantine does not reverse deterioration.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0315/p1491.html

Practical Selection of Antiemetics - American Family Physician

Mar 1, 2004 - An understanding of the pathophysiology of nausea and the mechanisms of antiemetics can help family physicians improve the cost-effectiveness and efficacy of therapy. Nausea and vomiting are mediated primarily by visceral stimulation through dopamine and serotonin, by vestibular and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1169.html

Palmoplantar Hyperhidrosis: A Therapeutic Challenge - American Family Physician

Mar 1, 2004 - Excessive sweating from the palms and soles, known as palmoplantar hyperhidrosis, affects both children and adults. Diagnosis of this potentially embarrassing and socially disabling condition is based on the patient's history and visible signs of sweating. The condition usually is ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1117.html

Cutting Back on High-Dosage Narcotics - Curbside Consultation - American Family Physician

Mar 1, 2004 - Over the past decade, the promotion of narcotics for control of malignant and non-malignant pain has been advocated by specialists in the pain community. While most physicians accept the use of aggressive narcotic analgesia in patients with cancer-related pain, the use of opioids in ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0301/p1313.html

New Contraceptive Options - American Family Physician

Feb 15, 2004 - Almost one half of pregnancies in the United States are unintended. Primary reasons for the high rate of unplanned pregnancy include dissatisfaction with or underuse of effective contraceptive methods and poor compliance with contraceptive methods that require daily adherence. Several ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p853.html

Regional Anesthesia For Office Procedures: Part II. Extremity and Inguinal Area ...

Feb 15, 2004 - The hand can be anesthetized effectively with blocks of the median, ulnar, or radial nerve. Each digit is supplied by four digital nerves, which can be blocked with injections on each side of the digit. Anterior or posterior ankle blocks can be used for regional anesthesia for the foot....

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p896.html

Poisoning, Envenomation, and Trauma from Marine Creatures - American Family Physician

Feb 15, 2004 - In the course of their clinical work or during leisure activity, family physicians occasionally may encounter patients with injuries from marine creatures. Poisoning, envenomation, and direct trauma are all possible in the marine environment. Ciguatera poisoning can result from ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p885.html

Eplerenone (Inspra) for Hypertension - STEPS - American Family Physician

Feb 15, 2004 - Compared with other commonly used antihypertensive medications, eplerenone is effective in lowering blood pressure when used alone or as add-on therapy. However, mortality benefits related to antihypertensive treatment have not yet been shown, so it should not be considered a first-line...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0215/p915.html

Does Lidocaine-Prilocaine Cream (EMLA) Decrease the Pain of Neonatal Circumcision? - ...

Feb 15, 2004 - EMLA cream reduces the pain experienced by newborns during circumcision compared with placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0215/p909.html

New Contraceptive Options: Patient Adherence and Satisfaction - Editorials - American ...

Feb 15, 2004 - Advertisement << Previous article Next article >> Feb 15, 2004 Issue Editorials New Contraceptive Options: Patient Adherence and Satisfaction LAURA B. HANSEN, PHARM.D. JOSEPH J. SASEEN, PHARM.D. University of Colorado Health Sciences Center, Denver, Colorado Am Fam Physician. 2004...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0215/p811.html

Management of Peripheral Aterial Disease - American Family Physician

Feb 1, 2004 - Peripheral arterial disease is common, but the diagnosis frequently is overlooked because of subtle physical findings and lack of classic symptoms. Screening based on the ankle brachial index using Doppler ultrasonography may be more useful than physical examination alone. Noninvasive ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p525.html

Regional Anesthesia For Office Procedures: Part I. Head and Neck Surgeries - American ...

Feb 1, 2004 - Although local anesthesia usually is used in surgical procedures, field or nerve blocks can provide more effective anesthesia in some situations. In a field block, local anesthetic is infiltrated around the border of the surgical field, leaving the operative area undisturbed. In field ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p585.html

Treatment of Obstructive Sleep Apnea in Primary Care - American Family Physician

Feb 1, 2004 - Obstructive sleep apnea should be suspected in patients who are overweight snore loudly, and have chronic daytime sleepiness. The diagnosis of sleep apnea may be confirmed by sleep laboratory studies. Patients' symptoms and the frequency of respiratory events on laboratory testing are ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p561.html

Are Selective COX-2 Inhibitors as Effective as NSAIDs in Patients with Rheumatoid ...

Feb 1, 2004 - The efficacy of COX-2 inhibitors is similar to that of nonselective NSAIDs in reducing the symptoms of rheumatoid arthritis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0201/p595.html

AAP Releases Policy Statement on Poison Treatment in the Home - Practice Guidelines - ...

Feb 1, 2004 - The American Academy of Pediatrics (AAP) has released a statement about poisoning in the home. According to the American Association of Poison Control Centers (AAPCC), approximately 1.2 million children younger than six years ingest a poisonous substance each year.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0201/p741.html

Tinnitus - Clinical Evidence Handbook - American Family Physician

Feb 1, 2004 - What are the effects of treatments for chronic tinnitus?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0201/p591.html

Treating Acute Bronchiolitis Associated with RSV - American Family Physician

Jan 15, 2004 - Treatment for infants with bronchiolitis caused by respiratory syncytial virus (RSV) includes supplemental oxygen, nasal suctioning, fluids to prevent dehydration, and other supportive therapies. High-risk children who should be hospitalized include those younger than three months and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p325.html

Facilitating Treatment Adherence With Lifestyle Changes in Diabetes - American Family ...

Jan 15, 2004 - Healthy eating and increased physical activity can prevent or delay diabetes and its complications. Techniques that facilitate adherence to these lifestyle changes can be adapted to primary care. Often, the patient's readiness to work toward change must be developed gradually. To ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p309.html

ACOG Releases Bulletin on Managing Cervical Insufficiency - Practice Guidelines - ...

Jan 15, 2004 - The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical management guideline on cervical insufficiency. This report also includes evidence for screening asymptomatic at-risk women.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0115/p436.html

Does a Low-Sodium Diet Reduce Blood Pressure? - FPIN's Clinical Inquiries - American ...

Jan 15, 2004 - Reducing sodium intake does lead to a slightly lower average blood pressure. However, no evidence from controlled trials proves that reducing sodium intake decreases morbidity or mortality, or proves that modest sodium restriction is harmful.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0115/p359.html

Tegaserod (Zelnorm) for Irritable Bowel Syndrome - STEPS - American Family Physician

Jan 15, 2004 - Despite design limitations common to drug therapy trials for c-IBS (e.g., subjective outcomes, high placebo response rate), tegaserod is at least somewhat effective at relieving troublesome symptoms in women. Considering the modest benefits and high cost, tegaserod is best used as a ...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0115/p363.html

Preventive Therapy for Diabetes: Lifestyle Changes and the Primary Care Physician - ...

Jan 15, 2004 - Advertisement << Previous article Next article >> Jan 15, 2004 Issue Editorials Preventive Therapy for Diabetes: Lifestyle Changes and the Primary Care Physician MARTIN S. LIPSKY, M.D., and LISA K. SHARP, PH.D., Northwestern University, Feinberg School of Medicine, Chicago, Illinois...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0115/p269.html

Vertebral Compression Fractures in the Elderly - American Family Physician

Jan 1, 2004 - Compression fracture of the vertebral body is common, especially in older adults. Vertebral compression fractures usually are caused by osteoporosis, and range from mild to severe. More severe fractures can cause significant pain, leading to inability to perform activities of daily ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p111.html

Digitalis for Treatment of Congestive Heart Failure in Patients in Sinus Rhythm - ...

Jan 1, 2004 - Adding digitalis to treatment with angiotensin-converting enzyme (ACE) inhibitors and diuretics will reduce hospitalization rates and improve clinical status in patients in normal sinus rhythm with left ventricular systolic dysfunction (LVSD) and symptoms of CHF on moderate or mild ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0101/p71.html

Thromboembolism - Clinical Evidence Handbook - American Family Physician

Jan 1, 2004 - What are the effects of treatments for proximal deep venous thrombosis? What are the effects of treatments for isolated calf venous thrombosis? What are the effects of treatments for pulmonary embolism? What are the effects of computerized decision support on oral anticoagulation ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0101/p132.html

Redefining Appropriate Use of Antibiotics - Editorials - American Family Physician

Jan 1, 2004 - Advertisement << Previous article Next article >> Jan 1, 2004 Issue Editorials Redefining Appropriate Use of Antibiotics JOHN G. GUMS, PHARM. D., University of Florida, Gainesville Am Fam Physician. 2004 Jan 1;69(1):35-40. Office-based physicians in the United States write...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0101/p35.html

Is Fluoxetine an Effective Therapy for Weight Loss in Obese Patients? - FPIN's Clinical...

Dec 15, 2003 - Fluoxetine (Prozac) use may result in an average, short-term weight loss of up to 3.3 kg (7 lb, 4 oz) in obese patients, but the longterm effects and maintenance of weight loss after discontinuation of the drug have not been well studied. No evidence concerning other SSRIs was found.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2003/1215/p2437.html

Adefovir (Hepsera) for Chronic Hepatitis B Infection - STEPS - American Family Physician

Dec 15, 2003 - Adefovir offers an effective first-line alternative for the treatment of chronic hepatitis B. It also may prove to be useful in patients who have failed therapy with lamivudine as well as in patients who have difficulty tolerating interferon alfa-2b. How it compares with other agents or...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1215/p2429.html

Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and ...

Dec 15, 2003 - Advertisement << Previous article Next article >> Dec 15, 2003 Issue Editorials Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and Prevention MARGARET GRADISON, M.D., Duke University Medical Center, Durham, North Carolina Am Fam Physician. 2003 Dec...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1215/p2335.html

Amiodarone: Guidelines for Use and Monitoring - American Family Physician

Dec 1, 2003 - Amiodarone is a potent antiarrhythmic agent that is used to treat ventricular arrhythmias and atrial fibrillation. The drug prevents the recurrence of life-threatening ventricular arrhythmias and produces a modest reduction of sudden deaths in high-risk patients. Amiodarone is more ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2189.html

Escitalopram (Lexapro) for Depression. - STEPS - American Family Physician

Dec 1, 2003 - While escitalopram has proved to be an effective treatment for major depression, it has not been shown to be significantly more effective, safer, or better tolerated than citalopram or other antidepressants.

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1201/p2235.html

Influenza - Clinical Evidence Handbook - American Family Physician

Dec 1, 2003 - What are the effects of antiviral treatment of influenza in adults?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/1201/p2231.html

Does Metformin Improve Clinical Features of Polycystic Ovary Syndrome? - Cochrane for ...

Dec 1, 2003 - Metformin therapy improves fasting insulin levels and blood pressure. It has no clinically significant effect on body weight, waist:hip ratio, or LDL cholesterol level. Metformin, taken with or without clomiphene, appears to be an effective first-line agent for ovulation induction in ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/1201/p2163.html

Desloratadine for Allergic Rhinitis - STEPS - American Family Physician

Nov 15, 2003 - Desloratadine is somewhat effective for the treatment of seasonal allergic rhinitis and may decrease nasal congestion. It also is effective for chronic urticaria. Desloratadine is similar in effectiveness to fexofenadine and would be expected to produce results similar to loratadine and...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1115/p2015.html

Management of Gestational Diabetes Mellitus - American Family Physician

Nov 1, 2003 - Gestational diabetes mellitus is a common but controversial disorder. While no large randomized controlled trials show that screening for and treating gestational diabetes affect perinatal outcomes, multiple studies have documented an increase in adverse pregnancy outcomes in patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1767.html

Approaching the Suicidal Patient - American Family Physician

Nov 1, 2003 - The suicide of a patient can be devastating to the family and to the family physician. The patient's death may shake the physician's confidence, undermine any willingness to work with patients with a mental illness, and provoke professional and legal review. In an attempt to help the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1814.html

Combination Therapy with ACE Inhibitors and Angiotensin-Receptor Blockers in Heart ...

Nov 1, 2003 - Angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers have different pharmacologic mechanisms for blocking the effect of the renin-angiotensin-aldosterone system on the cardiovascular system. Pharmacologically, the combination of these drug classes completely blocks...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1795.html

Atomoxetine for ADHD - STEPS - American Family Physician

Nov 1, 2003 - Atomoxetine is more effective than placebo for treating symptoms of ADHD in children and adults, based on short-term studies. Given safety concerns (growth retardation, potential adverse effects in slow metabolizers) and its high cost, atomoxetine should be considered only as an ...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1101/p1827.html

Antidepressants for Generalized Anxiety Disorder - Cochrane for Clinicians - American ...

Nov 1, 2003 - As a group, antidepressants are an effective short-term treatment for GAD. Compared with placebo, about five to six patients must be treated to get one additional patient who responds to therapy. Side effects occur more frequently with antidepressants than with placebo, but they are not...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/1101/p1757.html

Rheumatoid Arthritis - Clinical Evidence Handbook - American Family Physician

Nov 1, 2003 - What are the effects of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/1101/p1821.html

ATS, CDC, and IDSA Update Recommendations on the Treatment of Tuberculosis - Practice ...

Nov 1, 2003 - Recommendations for the treatment of tuberculosis in settings where mycobacterial cultures, radiographic facilities, and drug susceptibility testing are available have been published by the American Thoracic Society (ATS), the Centers for Disease Control and Prevention (CDC), and the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/1101/p1854.html

Repair of Obstetric Perineal Lacerations - American Family Physician

Oct 15, 2003 - Family physicians who deliver babies must frequently repair perineal lacerations after episiotomy or spontaneous obstetric tears. Effective repair requires a knowledge of perineal anatomy and surgical technique. Perineal lacerations are classified according to their depth. Sequelae of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1585.html

Panax ginseng - American Family Physician

Oct 15, 2003 - The herbal remedies referred to as ginseng are derived from the roots of several plants. One of the most commonly used and researched of the ginsengs is Panax ginseng, also called Asian or Korean ginseng. The main active components of Panax ginseng are ginsenosides, which have been ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1539.html

School Refusal in Children and Adolescents - American Family Physician

Oct 15, 2003 - School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development. School refusal often is associated with comorbid psychiatric ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1555.html

Ezetimibe for Hypercholesterolemia. - STEPS - American Family Physician

Oct 15, 2003 - Ezetimibe is safe and effective for lowering LDL cholesterol and triglyceride levels, but has not been shown to affect patient-oriented outcomes. It can be used as monotherapy or in combination with a low-dose statin, although the combination is more expensive than the maximum dose of ...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1015/p1595.html

A Practical Guide to Anaphylaxis - American Family Physician

Oct 1, 2003 - Anaphylaxis is a life-threatening reaction with respiratory, cardiovascular, cutaneous, or gastrointestinal manifestations resulting from exposure to an offending agent, usually a food, insect sting, medication, or physical factor. It causes approximately 1,500 deaths in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1325.html

Management of Gastroesophageal Reflux Disease - American Family Physician

Oct 1, 2003 - The primary treatment goals in patients with gastroesophageal reflux disease are relief of symptoms, prevention of symptom relapse, healing of erosive esophagitis, and prevention of complications of esophagitis. In patients with reflux esophagitis, treatment is directed at acid ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1311.html

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