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Preventing Stroke in Patients with Transient Ischemic Attacks - American Family Physician

Nov 15, 1999 - Stroke is the third most common overall cause of death and the leading cause of adult disability in the United States. New therapeutic interventions instituted in the period immediately after a stroke have revolutionized the approach to ischemic cerebrovascular disease. Recognition of a...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2329.html

Prevention of Recurrent Nephrolithiasis - American Family Physician

Nov 15, 1999 - The first episode of nephrolithiasis provides an opportunity to advise patients about measures for preventing future stones. Low fluid intake and excessive intake of protein, salt and oxalate are important modifiable risk factors for kidney stones. Calcium restriction is not useful and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2269.html

Update on Oral Contraceptive Pills - American Family Physician

Nov 1, 1999 - Oral contraceptive pills are widely used and are generally safe and effective for many women. The World Health Organization has developed a risk classification system to help physicians advise patients about the safety of oral contraceptive pills. The choice of pill formulation is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2073.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

The Costs of Helping Patients with Type 1 Diabetes Achieve Tight Control - Editorials -...

Nov 1, 1999 - Advertisement << Previous article Next article >> Nov 1, 1999 Issue Editorials The Costs of Helping Patients with Type 1 Diabetes Achieve Tight Control JIM NUOVO, M.D., University of California, Davis, School of Medicine, Davis, California JENNIFER NUOVO, M.D., MedClinic, Sacramento,...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/1101/p1914.html

Drug Treatment of Common STDs: Part II. Vaginal Infections, Pelvic Inflammatory Disease...

Oct 15, 1999 - The Centers for Disease Control and Prevention (CDC) released new guidelines for the treatment of sexually transmitted diseases (STDs) in 1998. Several treatment advances have been made since the previous guidelines were published. Part II of this two-part series on STDs describes ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1716.html

Right Ventricular Infarction: Specific Requirements of Management - American Family ...

Oct 15, 1999 - The principal cause of right ventricular infarction is atherosclerotic proximal occlusion of the right coronary artery. Proximal occlusion of this artery leads to electrocardiographically identifiable right-heart ischemia and an increased risk of death in the presence of acute inferior ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1727.html

Pediatric Advanced Life Support: A Review of the AHA Recommendations - American Family ...

Oct 15, 1999 - The etiologies of respiratory failure, shock, cardiopulmonary arrest and dysrhythmias in children differ from those in adults. In 1988, the American Heart Association implemented the pediatric advanced life support (PALS) program. Major revisions to the program were made in 1994, with ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1743.html

Treatment of Right Ventricular Infarction - Editorials - American Family Physician

Oct 15, 1999 - Advertisement << Previous article Next article >> Oct 15, 1999 Issue Editorials Treatment of Right Ventricular Infarction ASSAD MOVAHED, M.D., East Carolina University School of Medicine, Greenville, North Carolina Am Fam Physician. 1999 Oct 15;60(6):1640-1649. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/1015/p1640.html

Drug Treatment of Common STDs: Part I. Herpes, Syphilis, Urethritis, Chlamydia and ...

Oct 1, 1999 - In 1998, the Centers for Disease Control and Prevention released guidelines for the treatment of sexually transmitted diseases. Several treatment advances have been made since the previous guidelines were published. Part I of this two-part article describes current recommendations for ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1387.html

Management of the Hyperosmolar Hyperglycemic Syndrome - American Family Physician

Oct 1, 1999 - Hyperglycemic hyperosmolarity is part of a clinical spectrum of severe hyperglycemic disorders ranging from pure hyperglycemic hyperosmolarity without ketosis to diabetic ketoacidosis, with significant overlap in the middle. From 50 to 75 percent of hospitalizable patients who have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1468.html

Outpatient Detoxification of the Addicted or Alcoholic Patient - American Family Physician

Sep 15, 1999 - Outpatient detoxification of patients with alcohol or other drug addiction is being increasingly undertaken. This type of management is appropriate for patients in stage I or stage II of withdrawal who have no significant comorbid conditions and have a support person willing to monitor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1175.html

Atopic Dermatitis: A Review of Diagnosis and Treatment - American Family Physician

Sep 15, 1999 - Atopic dermatitis is a common, potentially debilitating condition that can compromise quality of life. Its most frequent symptom is pruritus. Attempts to relieve the itch by scratching simply worsen the rash, creating a vicious circle. Treatment should be directed at limiting itching, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1191.html

Raloxifene: A Selective Estrogen Receptor Modulator - American Family Physician

Sep 15, 1999 - Raloxifene is a selective estrogen receptor modulator that produces both estrogen-agonistic effects on bone and lipid metabolism and estrogen-antagonistic effects on uterine endometrium and breast tissue. Because of its tissue selectivity, raloxifene may have fewer side effects than are...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1131.html

Newer Pharmacologic Alternatives for Erectile Dysfunction - American Family Physician

Sep 15, 1999 - With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. The underlying cause of erectile dysfunction is usually a chronic medical illness or a side effect of certain drugs. Less commonly, the problem is psychogenic. Even after...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1159.html

Angiotensin II Receptor Antagonists in the Treatment of Hypertension - American Family ...

Sep 15, 1999 - The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-VI) includes recommendations for the assessment of overall cardiovascular risk and the need for active antihypertensive drug therapy. Once the decision to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1185.html

Is Raloxifene the Answer to the HRT Story? - Editorials - American Family Physician

Sep 15, 1999 - Advertisement << Previous article Next article >> Sep 15, 1999 Issue Editorials Is Raloxifene the Answer to the HRT Story? BARBARA APGAR, M.D., M.S., University of Michigan Medical School, Ann Arbor, Michigan Am Fam Physician. 1999 Sep 15;60(4):1092-1095. Related Article The search...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0915/p1092.html

Management of Diabetic Ketoacidosis - American Family Physician

Aug 1, 1999 - Diabetic ketoacidosis is an emergency medical condition that can be life-threatening if not treated properly. The incidence of this condition may be increasing, and a 1 to 2 percent mortality rate has stubbornly persisted since the 1970s. Diabetic ketoacidosis occurs most often in ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p455.html

Peyronie's Disease: Current Management - American Family Physician

Aug 1, 1999 - Peyronie's disease is an acquired inflammatory condition of the penis associated with penile curvature and,in some cases, pain. It primarily affects men between 45 and 60 years of age, although an age range of 18 to 80 years has been reported. If left untreated, Peyronie's disease may ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p549.html

Vasectomy Techniques - American Family Physician

Jul 1, 1999 - Vasectomy can be performed by means of various techniques, although each vasectomy technique requires isolation and division of the vas and operative management of the vasal ends. Removal of at least 15 mm of vas is recommended, although division of the vas without removal of a segment ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p137.html

Prevention of Osteoporosis and Fractures - American Family Physician

Jul 1, 1999 - Osteoporosis and low bone density are associated with a risk of fracture as a result of even minimally traumatic events. The estimated lifetime risk of osteoporotic fracture is as high as 50 percent, especially in white and Asian women. The use of caffeine, tobacco and steroids is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p194.html

A Rational Approach to the Treatment of Hypertension in Special Populations - American ...

Jul 1, 1999 - Hypertension in blacks is usually characterized by low renin, expanded volume and sensitivity to salt. Diuretics are the preferred initial therapy, but response to calcium channel antagonists is also good. The blood pressure response to monotherapy with beta blockers or ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p156.html

Managing Somatic Preoccupation - American Family Physician

Jun 1, 1999 - Somatically preoccupied patients are a heterogeneous group of persons who have no genuine physical disorder but manifest psychologic conflicts in a somatic fashion; who have a notable psychologic overlay that accompanies or complicates a genuine physical disorder; or who have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3113.html

Angiotensin-II Receptor Antagonists: Their Place in Therapy - American Family Physician

Jun 1, 1999 - Angiotensin-II receptor antagonists (or blockers) are a newer class of antihypertensive agents. These drugs are selective for angiotensin II (type 1 receptor); unlike angiotensin-converting enzyme inhibitors, they do not inhibit bradykinin metabolism or enhance prostaglandin synthesis. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3140.html

Treatment of Type 2 Diabetes Mellitus - American Family Physician

May 15, 1999 - Type 2 diabetes mellitus (formerly called non-insulin-dependent diabetes) causes abnormal carbohydrate, lipid and protein metabolism associated with insulin resistance and impaired insulin secretion. Insulin resistance is a major contributor to progression of the disease and to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2835.html

Stroke: Part II. Management of Acute Ischemic Stroke - American Family Physician

May 15, 1999 - Optimal treatment of the patient who has sustained an acute ischemic stroke requires rapid assessment and early intervention. The leisurely approach to acute stroke management sometimes taken in the past should be replaced by an approach that treats stroke as a true medical emergency. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2828.html

Medical Treatments for Balding in Men - American Family Physician

Apr 15, 1999 - Two drugs are available for the treatment of balding in men. Minoxidil, a topical product, is available without a prescription in two strengths. Finasteride is a prescription drug taken orally once daily. Both agents are modestly effective in maintaining (and sometimes regrowing) hair ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2189.html

Treatment Guidelines for Primary Nonretentive Encopresis and Stool Toileting Refusal - ...

Apr 15, 1999 - Nonretentive encopresis refers to inappropriate soiling without evidence of fecal constipation and retention. This form of encopresis accounts for up to 20 percent of all cases. Characteristics include soiling accompanied by daily bowel movements that are normal in size and consistency....

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2171.html

Topical Therapies for Glaucoma: What Family Physicians Need to Know - American Family ...

Apr 1, 1999 - Medication classes historically used in the management of glaucoma include beta blockers, miotics, sympathomimetics and carbonic anhydrase inhibitors. Because topically applied medications are more site specific, they are preferred in the treatment of glaucoma. Compared with oral ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1871.html

Classification of Tremor and Update on Treatment - American Family Physician

Mar 15, 1999 - Tremor is a symptom of many disorders, including Parkinson's disease, essential tremor, orthostatic tremor, cerebellar disease, peripheral neuropathy and alcohol withdrawal. Tremors may be classified as postural, rest or action tremors. Symptomatic treatment is tailored to the tremor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1565.html

Low-Molecular Weight Heparin in Preventing and Treating DVT - American Family Physician

Mar 15, 1999 - Low-molecular-weight heparin is a relatively recent addition to the list of therapies for prophylaxis and treatment of deep venous thrombosis (DVT). As a prophylactic, low-molecular-weight heparin is as effective as standard heparin or warfarin and does not require monitoring of the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1607.html

Ambulatory Management of Common Forms of Anemia - American Family Physician

Mar 15, 1999 - Anemia is a prevalent condition with a variety of underlying causes. Once the etiology has been established, many forms of anemia can be easily managed by the family physician. Iron deficiency, the most common form of anemia, may be treated orally or, rarely, parenterally. Vitamin B12 ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1598.html

Herbal Remedies: Adverse Effects and Drug Interactions - American Family Physician

Mar 1, 1999 - A growing number of Americans are using herbal products for preventive and therapeutic purposes. The manufacturers of these products are not required to submit proof of safety and efficacy to the U.S. Food and Drug Administration before marketing. For this reason, the adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1239.html

When to Consider Radiation Therapy for Your Patient - American Family Physician

Mar 1, 1999 - Radiation therapy can be an effective treatment modality for both malignant and benign disease. While radiation can be given as primary treatment, it may also be used pre- or postoperatively, with or without other forms of therapy. Radiation therapy is often curative but is sometimes ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1177.html

Hypertension Treatment and the Prevention of Coronary Heart Disease in the Elderly - ...

Mar 1, 1999 - Both isolated systolic hypertension (>140 mm Hg/<90 mm Hg) and systolic/diastolic hypertension (>140 mm Hg/>90 mm Hg) are major risk factors for cardiovascular disease in the elderly. Specific antihypertensive drug therapy is available if lifestyle interventions fail to reduce blood ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1248.html

Topical Psoriasis Therapy - American Family Physician

Feb 15, 1999 - Psoriasis is a common dermatosis, affecting from 1 to 3 percent of the population. Until recently, the mainstays of topical therapy have been corticosteroids, tars, anthralins and keratolytics. Recently, however, vitamin D analogs, a new anthralin preparation and topical retinoids have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p957.html

Low-Molecular-Weight Heparin in Treatment of DVT - American Family Physician

Feb 15, 1999 - Patients with a diagnosis of acute deep venous thrombosis have traditionally been hospitalized and treated with unfractionated heparin followed by oral anticoagulation therapy. Several clinical trials have shown that low-molecular-weight heparin is at least as safe and effective as ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p945.html

Surgical Options in the Management of Groin Hernias - American Family Physician

Feb 15, 1999 - Inguinal and femoral hernias are the most common conditions for which primary care physicians refer patients for surgical management. Hernias usually present as swelling accompanied by pain or a dragging sensation in the groin. Most hernias can be diagnosed based on the history and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p893.html

Clinical Evaluation and Treatment Options for Herniated Lumbar Disc - American Family ...

Feb 1, 1999 - Degeneration of the intervertebral disc from a combination of factors can result in herniation, particularly at the L4-5 and L5-S1 levels. The presence of pain, radiculopathy and other symptoms depends on the site and degree of herniation. A detailed history and careful physical ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0201/p575.html

Hepatitis C: Who Should We Be Treating? - Editorials - American Family Physician

Jan 15, 1999 - Advertisement << Previous article Next article >> Jan 15, 1999 Issue Editorials Hepatitis C: Who Should We Be Treating? JEFFREY T. KIRCHNER, D.O., Lancaster General Hospital, Lancaster, Pennsylvania Am Fam Physician. 1999 Jan 15;59(2):273-277. Related Article The hepatitis C virus...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0115/p273.html

Mirtazapine: A Newer Antidepressant - American Family Physician

Jan 1, 1999 - Mirtazapine is a newer antidepressant that exhibits both noradrenergic and serotonergic activity. It is at least as effective as the older antidepressants for treating mild to severe depression. Sedation is the most common side effect. Although agranulocytosis is the most serious side ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p159.html

Surgical Options in the Management of Groin Hernias - American Family Physician

Jan 1, 1999 - Inguinal and femoral hernias are the most common conditions for which primary care physicians refer patients for surgical management. Hernias usually present as swelling accompanied by pain or a dragging sensation in the groin. Most hernias can be diagnosed based on the history and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p143.html

ACE Inhibitor Therapy: Benefits and Underuse - Editorials - American Family Physician

Jan 1, 1999 - Advertisement << Previous article Next article >> Jan 1, 1999 Issue Editorials ACE Inhibitor Therapy: Benefits and Underuse SIDNEY C. SMITH, JR., M.D., University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina Am Fam Physician. 1999 Jan 1;59(1):35-....

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0101/p35.html

Practical Management of Treatment-Resistant Depression - American Family Physician

Dec 1, 1998 - Patients receiving antidepressant monotherapy may be partially or totally resistant to treatment in 10 to 30 percent of cases. In patients who have experienced only partial treatment results, the clinician should first consider optimizing antidepressant dosage or lengthening therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2059.html

Appropriate Use of the Intrauterine Device - American Family Physician

Dec 1, 1998 - The intrauterine device, a common form of birth control in the early 1970s, is now avoided by American physicians and women because of concern about complications. This concern is largely the result of the problems reported with use of an intrauterine device that is no longer ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2077.html

IUDs: Time for a Renaissance - Editorials - American Family Physician

Dec 1, 1998 - Advertisement << Previous article Next article >> Dec 01, 1998 Issue Editorials IUDs: Time for a Renaissance DAVID A. GRIMES, M.D., and DAVID HUBACHER, PH.D., Family Health International, Research Triangle Park, North Carolina Am Fam Physician. 1998 Dec 1;58(9):1963-1964. Related...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1201/p1963.html

Aminoglycosides: A Practical Review - American Family Physician

Nov 15, 1998 - Aminoglycosides are potent bactericidal antibiotics that act by creating fissures in the outer membrane of the bacterial cell. They are particularly active against aerobic, gram-negative bacteria and act synergistically against certain gram-positive organisms. Gentamicin is the most ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1811.html

Epidural Analgesia During Labor - American Family Physician

Nov 15, 1998 - Epidural analgesia is a commonly employed technique of providing pain relief during labor. The number of parturients given intrapartum epidural analgesia is reported to be over 50 percent at many institutions in the United States. The procedure has few contraindications, the primary ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1785.html

Current Status of Cardiac Rehabilitation - American Family Physician

Nov 15, 1998 - Cardiac rehabilitation is an important management strategy in patients with coronary artery disease. Substantial data from both mortality and morbidity studies support the benefits. Recent studies of patients with coronary artery disease have shown that exercise confers greater benefit ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1778.html

Complications of Epidural Analgesia During Labor - Editorials - American Family Physician

Nov 15, 1998 - Advertisement << Previous article Next article >> Nov 15, 1998 Issue Editorials Complications of Epidural Analgesia During Labor JAMES A. THORP, M.D., St. Luke's Hospital of Kansas City, Missouri Am Fam Physician. 1998 Nov 15;58(8):1743-1745. Related Article In this issue of...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1115/p1743.html

Single Daily Dosing of Aminoglycosides - Editorials - American Family Physician

Nov 15, 1998 - Advertisement << Previous article Next article >> Nov 15, 1998 Issue Editorials Single Daily Dosing of Aminoglycosides ROBERT L. DEAMER, PHARM.D., B.C.P.S., University of Southern California, Los Angeles, and University of California, San Francisco Am Fam Physician. 1998 Nov...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1115/p1745.html

Carvedilol: The New Role of Beta-Blockers in Congestive Heart Failure - American Family...

Nov 1, 1998 - The prognosis remains poor for patients with congestive heart failure (CHF), despite reduced mortality rates resulting from the addition of angiotensin converting enzyme inhibitors to traditional treatment regimens. Because much of the myocardial damage that occurs in patients with CHF ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1101/p1627.html

Advances in the Treatment of Alzheimer's Disease - American Family Physician

Nov 1, 1998 - Management of the most common type of dementia--Alzheimer's disease--is becoming increasingly sophisticated. Differentiation of Alzheimer's disease from vascular dementia has become therapeutically important, since the choice of treatments depends on the diagnosis. Two cholinesterase ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1101/p1577.html

Oral Contraceptive Use During the Menopausal Years - American Family Physician

Oct 15, 1998 - Few guidelines exist for the use of estrogen, particularly low-dose oral contraceptives, during the perimenopausal years. Use of low-dose oral contraceptive pills in women over 35 years of age provides protection against unwanted pregnancy, maintains a stable hormonal environment and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1373.html

Appropriate Use of Antibiotics for URIs in Children: Part II. Cough, Pharyngitis and ...

Oct 15, 1998 - This article summarizes the principles of judicious antimicrobial therapy for three of the five conditions--cough, pharyngitis, the common cold--that account for most of the outpatient use of these drugs in the United States. The principles governing the other two conditions, otitis ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1335.html

Treatment of Hypertension: Insights from the JNC-VI Report - American Family Physician

Oct 15, 1998 - The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-VI) provides updated guidelines for the treatment of hypertension. Antihypertensive drug therapy may be initiated either after a trial of lifestyle ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1323.html

New Drugs for Alzheimer's Disease - American Family Physician

Oct 1, 1998 - Alzheimer's disease is characterized by degeneration of various structures in the brain, with development of amyloid plaques and neurofibrillary tangles. Deficiencies of acetylcholine and other neurotransmitters also occur. Pharmacologic treatment of the disease generally seeks to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1175.html

Herbal 'Health' Products: What Family Physicians Need to Know - American Family Physician

Oct 1, 1998 - Patients who self-medicate with herbs for preventive and therapeutic purposes may assume that these products are safe because they are

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1133.html

Appropriate Use of Antibiotics for URIs in Children: Part I. Otitis Media and Acute ...

Oct 1, 1998 - Five conditions--otitis media, acute sinusitis, cough, pharyngitis and the common cold--account for most of the outpatient use of antibiotics in the United States. The first part of this two-part article presents guidelines that encourage physicians to make an appropriate distinction ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1113.html

Herbal Medicines and the Family Physician - Editorials - American Family Physician

Oct 1, 1998 - Advertisement << Previous article Next article >> Oct 1, 1998 Issue Editorials Herbal Medicines and the Family Physician BENJAMIN KLIGLER, M.D., M.P.H., Beth Israel Medical Center, New York, New York Am Fam Physician. 1998 Oct 1;58(5):1064-1066. Related Article Why should we as...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1001/p1064.html

Drug Treatment for URIs: Back to the Drawing Board - Editorials - American Family ...

Oct 1, 1998 - Advertisement << Previous article Next article >> Oct 1, 1998 Issue Editorials Drug Treatment for URIs: Back to the Drawing Board CAROLINE WELLBERY, M.D., Georgetown University School of Medicine, Washington, D.C. Am Fam Physician. 1998 Oct 1;58(5):1066-1068. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1001/p1066.html

Functional Endoscopic Sinus Surgery - American Family Physician

Sep 1, 1998 - Functional endoscopic sinus surgery is a minimally invasive technique used to restore sinus ventilation and normal function. The most suitable candidates for this procedure have recurrent acute or chronic infective sinusitis, and an improvement in symptoms of up to 90 percent may be ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p707.html

External Cephalic Version - American Family Physician

Sep 1, 1998 - External cephalic version is a procedure that externally rotates the fetus from a breech presentation to a vertex presentation. External version has made a resurgence in the past 15 years because of a strong safety record and a success rate of about 65 percent. Before the resurgence of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p731.html

A Different Look at Corticosteroids - American Family Physician

Aug 1, 1998 - Systemic corticosteroids have been used in the treatment of numerous medical conditions for approximately 50 years. Short-acting products such as hydrocortisone are the least potent. Prednisone and methylprednisolone, which are intermediate-acting products, are four to five times more ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p443.html

Drugs for Conversion of Atrial Fibrillation - American Family Physician

Aug 1, 1998 - Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p471.html

Management of Withdrawal Syndromes and Relapse Prevention in Drug and Alcohol Abuse - ...

Jul 1, 1998 - The primary care physician is in a good position to diagnose, manage and intervene with patients who are undergoing the process of treatment and recovery from alcohol and drug disorders. Medications such as benzodiazepines are effective in the treatment of withdrawal syndromes, and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p139.html

New Strategies in the Medical Management of Asthma - American Family Physician

Jul 1, 1998 - Asthma, a common chronic inflammatory disease of the airways, may be classified as mild intermittent or mild, moderate, or severe persistent. Patients with persistent asthma require medications that provide long-term control of their disease and medications that provide quick relief of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p89.html

Indications for Anticoagulation in Atrial Fibrillation - American Family Physician

Jul 1, 1998 - Factors associated with an increased risk of thromboembolic events in patients with atrial fibrillation (AF) include increasing age, rheumatic heart disease, poor left ventricular function, previous myocardial infarction, hypertension and a past history of a thromboembolic event. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p130.html

Treatment Strategies for Premenstrual Syndrome - American Family Physician

Jul 1, 1998 - Premenstrual syndrome (PMS) refers to a group of menstrually related disorders. Premenstrual symptoms sufficient to impair daily activity and relationships are estimated to occur in up to 40 percent of women of reproductive age, with 5 percent of these women having severe impairment. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p183.html

Anticoagulation in Elderly Persons: A Call for Wider Use - Editorials - American Family...

Jul 1, 1998 - Advertisement << Previous article Next article >> Jul 01, 1998 Issue Editorials Anticoagulation in Elderly Persons: A Call for Wider Use VALERY A. PORTNOI, M.D., Albert Einstein College of Medicine of Yeshiva, University Beth Israel Medical Center, New York, New York Am Fam...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0701/p39.html

Combination Antiretroviral Therapy for HIV Infection - American Family Physician

Jun 1, 1998 - The primary goal of antiretroviral therapy for human immunodeficiency virus (HIV) infection is suppression of viral replication. Evidence indicates that the optimal way to achieve this goal is by initiating combination therapy with two or more antiretroviral agents. The agents now ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2789.html

Treatment of Systemic Lupus Erythematosus: An Update - American Family Physician

Jun 1, 1998 - Systemic lupus erythematosus predominantly affects women and is more common in blacks. Although survival rates have improved, over one half of patients with systemic lupus erythematosus have permanent damage in one or more organ systems. Arthritis and cutaneous manifestations are most ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2753.html

Chronic Bronchitis: Primary Care Management - American Family Physician

May 15, 1998 - Chronic bronchitis is a clinical diagnosis characterized by a cough productive of sputum for over three months' duration during two consecutive years and the presence of airflow obstruction. Pulmonary function testing aids in the diagnosis of chronic bronchitis by documenting the extent...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2365.html

Panic Disorder: Effective Treatment Options - American Family Physician

May 15, 1998 - Panic disorder is a distressing and debilitating condition with a familial tendency; it may be associated with situational (agoraphobic) avoidance. The diagnosis of panic disorder requires recurrent, unexpected panic attacks and at least one of the following characteristics: persistent ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2405.html

Urinary Tract Infections in Children: Why They Occur and How to Prevent Them - American...

May 15, 1998 - Urinary tract infections (UTIs) usually occur as a consequence of colonization of the periurethral area by a virulent organism that subsequently gains access to the bladder. During the first few months of life, uncircumcised male infants are at increased risk for UTIs, but thereafter ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2440.html

Management of Dyslipidemia in Adults - American Family Physician

May 1, 1998 - The importance of treating dyslipidemias based on cardiovascular risk factors is highlighted by the National Cholesterol Education Program guidelines. The first step in evaluation is to exclude secondary causes of hyperlipidemia. Assessment of the patient's risk for coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2192.html

Psychotherapy in Primary Care: The BATHE Technique - American Family Physician

May 1, 1998 - The family physician occupies a front-line position in the detection and treatment of emotional problems and psychiatric illnesses. The practice pattern of the family physician necessitates an efficient, effective model of psychotherapy The BATHE technique is a brief psychotherapeutic ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2131.html

Prescription to Over-the-Counter Drug Reclassification - American Family Physician

May 1, 1998 - Self-care is becoming increasingly popular among health care consumers. The availability of over-the-counter medications makes it possible for consumers to treat numerous ailments without the supervision of a health care professional. Many of the medications now available without a ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2209.html

Stuttering: A Brief Review - American Family Physician

May 1, 1998 - The etiology of stuttering is controversial. The prevailing theories point to measurable neurophysical dysfunctions that disrupt the precise timing required to produce speech. Stuttering is a common disorder that usually resolves by adulthood. Almost 80 percent of children who stutter ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2175.html

Practical Steps to Smoking Cessation for Recovering Alcoholics - American Family Physician

Apr 15, 1998 - Smoking rates among persons with a history of alcohol abuse are triple that of the general public. Strong evidence indicates that the risk of cancer and cardiovascular disease is higher in recovering alcoholics than in peers who smoke, but do not drink alcohol. Yet these persons often ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1869.html

Use of Immunotherapy in a Primary Care Office - American Family Physician

Apr 15, 1998 - Immunotherapy has been used for over 80 years. It is a safe and effective therapeutic intervention for allergic rhinitis, but its use in the treatment of asthma is more controversial. Patients with unstable asthma are at increased risk of adverse effects from immunotherapy; therefore, ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1888.html

Office Management of Bartholin Gland Cysts and Abscesses - American Family Physician

Apr 1, 1998 - Bartholin gland cysts and abscesses are common problems in women of reproductive age. Although the cysts are usually asymptomatic, they may become enlarged or infected and cause significant pain. Often the clinician is tempted simply to lance the cyst or abscess, since this technique ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1611.html

Management of Seizures and Epilepsy - American Family Physician

Apr 1, 1998 - While the evaluation and treatment of patients with seizures or epilepsy is often challenging, modern therapy provides many patients with complete seizure control. After a first seizure, evaluation should focus on excluding an underlying neurologic or medical condition, assessing the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1589.html

Calcium Channel Antagonists: Morbidity and Mortality - What's the Evidence? - American ...

Apr 1, 1998 - Recent studies have shown an association between the use of calcium channel antagonists for the treatment of hypertension and an increased risk of myocardial infarction, gastrointestinal hemorrhage and cancer. The interpretation of the results of these studies and their application to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1551.html

The Calcium Channel Antagonist Controversy - Editorials - American Family Physician

Apr 1, 1998 - Advertisement << Previous article Next article >> Apr 1, 1998 Issue Editorials The Calcium Channel Antagonist Controversy IRENE GAVRAS, M.D. and HARALAMBOS GAVRAS, M.D., Boston University School of Medicine, Boston, Massachusetts Am Fam Physician. 1998 Apr 1;57(7):1484-1492. Related...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0401/p1484.html

Dietary Therapy for Preventing and Treating Coronary Artery Disease - American Family ...

Mar 15, 1998 - Nearly one half of Americans die of cardiovascular disease. The morbidity and mortality associated with coronary artery disease is strongly related to abnormal lipid levels, oxidation of lipids and intra-arterial clot formation. Nutrition powerfully influences each of these factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1299.html

Antiviral Drugs in Healthy Children - American Family Physician

Mar 1, 1998 - Several antiviral agents are available to treat viral illnesses in healthy children. In some children, treatment with acyclovir is an alternative to vaccination for the treatment and prevention of chickenpox. Acyclovir also can be useful in the treatment or prevention of herpes simplex ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0301/p1073.html

Managing the Patient with Hard-to-Control Hypertension - American Family Physician

Mar 1, 1998 - Less than 25 percent of patients with hypertension in the United States have their blood pressure under control, mainly because of inadequate or inappropriate therapy and noncompliance. Approximately one half of these treatment failures are related to factors such as cost and adverse ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0301/p1007.html

Management of Hospitalized Patients with Type 2 Diabetes Mellitus - American Family ...

Mar 1, 1998 - Subopitmal glycemic control in hospitalized patients with type 2 (non-insulin-dependent) diabetes mellitus can have adverse consequences, including increased neurologic ischemia, delayed wound healing and an increased infection rate. Poor glycemic control can also affect the outcome of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0301/p1079.html

Ten Commandments for the Care of Terminally Ill Patients - Editorials - American Family...

Mar 1, 1998 - Advertisement << Previous article Next article >> Mar 1, 1998 Issue Editorials Ten Commandments for the Care of Terminally Ill Patients JAMES R. WHITTEN, M.D., University of Missouri at Kansas City Am Fam Physician. 1998 Mar 1;57(5):935-940. One criticism of physicians is our...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0301/p935.html

Subclinical Hypothyroidism: Deciding When to Treat - American Family Physician

Feb 15, 1998 - While screening patients for thyroid disease, physicians often find increased thyrotropin-stimulating hormone (TSH) levels in patients whose free thyroxine (T4) levels are not below normal. This state, termed

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p776.html

Management of Shoulder Impingement Syndrome and Rotator Cuff Tears - American Family ...

Feb 15, 1998 - Rotator cuff impingement syndrome and associated rotator cuff tears are commonly encountered shoulder problems. Symptoms include pain, weakness and loss of motion. Causes of impingement include acromioclavicular joint arthritis, calcified coracoacromial ligament, structural ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p667.html

Isoniazid Overdose: Recognition and Treatment - American Family Physician

Feb 15, 1998 - Since isoniazid is increasingly being used to control the spread of tuberculosis, physicians must be aware of its potentially fatal effects. The ingestion of toxic amounts of isoniazid causes recurrent seizures, profound metabolic acidosis, coma and even death. In adults, toxicity can ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p749.html

Transcervical Amnioinfusion - American Family Physician

Feb 1, 1998 - Amnioinfusion is being used to treat intrapartum problems known to be associated with fetal compromise, including prophylactic treatment of oligohydramnios during labor and after premature rupture of the membranes, treatment of severe variable decelerations during labor and reducing the...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p504.html

Newer Anti-Eptileptic Drugs: Gabapentin, Lamotrigine, Felbamate, Topiramate and ...

Feb 1, 1998 - Twenty-five to 40 percent of patients with epilepsy continue to have seizures despite optimal treatment with traditional antiepileptic drugs. Treatment with standard anticonvulsants such as phenytoin, carbamazepine, valproic acid and phenobarbital is often complicated by side effects ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p513.html

Hospice Care in the Nursing Home - American Family Physician

Feb 1, 1998 - Hospice care is being used more frequently to provide skills and services that are not otherwise available in nursing homes. For eligible terminally ill patients, the Medicare Hospice Benefit supplies an interdisciplinary team with skills in pain management, symptom control and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p491.html

The Integration of Hospice Programs in Nursing Homes - Editorials - American Family ...

Feb 1, 1998 - Advertisement << Previous article Next article >> Feb 1, 1998 Issue Editorials The Integration of Hospice Programs in Nursing Homes AUBREY L. KNIGHT, M.D., Carilion Family Practice Residency Program, Roanoke, Virginia Am Fam Physician. 1998 Feb 1;57(3):424-425. Related Article A...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0201/p424.html

Insulin Lispro: A Fast-Acting Insulin Analog - American Family Physician

Jan 15, 1998 - Research has established the importance of maintaining blood glucose levels near normal in patients with type 1 (insulin-dependent) diabetes mellitus. Short-acting insulin analogs are designed to overcome the limitations of regular short-acting insulins. Compared with regular human ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p279.html

Advances in the Treatment of Arrhythmias: Implantable Cardioverter-Defibrillators - ...

Jan 15, 1998 - Implantable cardioverter-defibrillators are commonly used in patients who have life-threatening ventricular arrhythmias. With these implanted electronic devices, bradyarrhythmias and tachyarrhythmias can be recognized promptly and treated with electrical pacing, cardioversion or ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p297.html

Understanding the Guidelines for Treating HIV Disease - American Family Physician

Jan 15, 1998 - In 1996 a panel of experts convened by the International AIDS Society-USA issued new guidelines for treating human immunodeficiency virus (HIV) infection, which have recently been updated. Quantitative plasma HIV-1 RNA concentration (viral load) and CD4+ lymphocyte levels are used to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p315.html

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