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Telephone-Based Cognitive Behavior Therapy for Insomnia Is Effective - POEMs - American... Restricted content. Login required.

Feb 1, 2022 - In patients with clinical insomnia and chronic pain, CBT for insomnia delivered via telephone over six sessions leads to relief of sleeplessness that is sustained for at least one year. In this study, general education also provided insomnia relief to many patients.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0200/p202.html

Tendinopathies of the Foot and Ankle - American Family Physician Restricted content. Login required.

May 1, 2022 - Tendinopathies of the foot and ankle, including posterior tibial, peroneal, and tibialis anterior, are commonly overlooked by primary care physicians. The posterior tibial tendon is the main dynamic stabilizing muscle of the medial longitudinal arch. Patients who have posterior tibial ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0500/p479.html

The Case for Supervised Injection Sites in the United States - Editorials - American ...

May 1, 2022 - As the opioid epidemic continues, a movement advocating for medically supervised injection sites in U.S. cities is growing. Family physicians should be knowledgeable about their potential impacts.

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0500/p454.html

The Importance and Challenges of Reducing Low-Value Care in Children - Editorials - ...

Mar 1, 2022 - Eliminating the use of low-value care (interventions for which harms typically exceed benefits) in children is crucial.

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0300/p226.html

The National Health Service Corps at 50 Years - Graham Center Policy One-Pagers - ...

Feb 1, 2022 - The National Health Service Corps (NHSC) was established in 1970 to address the mal-distribution of physicians in the United States. In 1972, it placed the first clinicians (181 physicians) into rural and urban underserved communities. Since then, the NHSC has grown into a ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2022/0200/p129.html

Third Pfizer Vaccine Dose Significantly Increases Protection Against Mild and Severe ... Restricted content. Login required.

Dec 1, 2021 - A third booster dose of the Pfizer-BioNTech mRNA vaccine against COVID-19 provides a large increase in protection for people 60 years and older against mild and severe infection. The protection against mild infection could help reduce community spread and reduce the incidence of long ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od2.html

Thumb Spica Casts for Scaphoid Fractures - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Mar 1, 2022 - The type of cast used does not appear to impact outcomes. A short arm cast allows the patient to have better function and mobility during immobilization without compromising the healing process. Thumb spica casts are no better than casts that do not include the thumb in fracture healing...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2022/0300/p307.html

Thyroid and Parathyroid Disorders - American Family Physician

Dec 15, 2021 - This collection features AFP content on thyroid and parathyroid disorders and related issues, including hyperthyroidism, hypothyroidism, and thyroiditis. This collection features AFP content on thyroid and parathyroid disorders and related issues, including hyperthyroidism, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=67

Thyroiditis: Evaluation and Treatment - American Family Physician Restricted content. Login required.

Dec 1, 2021 - Thyroiditis is a general term for inflammation of the thyroid gland. The most common forms of thyroiditis encountered by family physicians include Hashimoto, postpartum, and subacute. Most forms of thyroiditis result in a triphasic disease pattern of thyroid dysfunction. Patients will ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1200/p609.html

Tinnitus, HIV Infection, Joint Hypermobility Disorders, Drug-Resistant Epilepsy, Cancer... Restricted content. Login required.

Dec 1, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/1200/p566.html

Tobacco Use and Dependence - American Family Physician

Feb 15, 2022 - This collection features AFP content on tobacco abuse and dependence and related issues, including addiction, behavioral and drug therapies, lifestyle counseling, and smoking cessation. This collection features AFP content on tobacco abuse and dependence and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=28

Topical Nitroglycerin for Lower Extremity Tendinopathy - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Feb 1, 2022 - In non-insertional Achilles tendinopathy, topical NTG patches are minimally better than placebo at 24 weeks. Topical NTG plus physical therapy is not superior for pain relief or functional improvement compared with placebo patches plus physical therapy. In chronic patellar tendinopathy,...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2022/0200/p196.html

Transient Global Amnesia - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Transient global amnesia (TGA) is a clinical syndrome characterized by anterograde amnesia, mild retrograde amnesia, and confusion up to 24 hours. Most commonly seen in patients older than 50 years, TGA results from the temporary impairment of short-term memory formation. Clinically, ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p50.html

Trigger Finger: Safety and Effectiveness of NSAID vs. Steroid Injection Therapy - ... Restricted content. Login required.

Dec 1, 2021 - In patients with trigger finger, there is no significant difference in outcomes at 12 to 24 weeks— including resolution of symptoms, recurrence, total active motion, residual pain, patient satisfaction, or adverse events—when comparing treatment with NSAID injections vs. corticosteroid ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1200/p577.html

UCH-L1 and GFAP Testing (i-STAT TBI Plasma) for the Detection of Intracranial Injury ... Restricted content. Login required.

Mar 1, 2022 - UCH-L1 and GFAP are serum markers that may be used to reduce the need for head CT after mild TBI. However, there are no studies on the incorporation of these markers into existing head CT clinical decision rules or that describe the optimal use of the i-STAT TBI Plasma test outside of ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2022/0300/p313.html

Ulcerative Colitis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Apr 1, 2022 - Ulcerative colitis is a relapsing and remitting inflammatory bowel disease of the large intestine. Risk factors include recent Salmonella or Campylobacter infection and a family history of ulcerative colitis. Diagnosis is suspected based on symptoms of urgency, tenesmus, and ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0400/p406.html

Ultrasonography Is Accurate for Diagnosing Upper Extremity Fractures in Children - ... Restricted content. Login required.

Dec 1, 2021 - Diagnostic ultrasonography is highly accurate for diagnosing most upper extremity fractures but slightly less accurate for fractures involving the elbow. Clinicians should not use ultrasonography alone to rule in elbow fractures in children.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od4.html

Universal Depression Screening in Primary Care: 77% False Positives - POEMs - American ... Restricted content. Login required.

Mar 1, 2022 - There is considerable uncertainty, which is reflected in the disparate guidelines, about whether screening for depression is helpful to patients (rather than a way to label them as being depressed or not). Most of the positive scores on the Patient Health Questionnaire-9 tool will be ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0300/p321a.html

Upright Walkers as Mobility Assistive Devices for Older Adults - Letters to the Editor ...

May 1, 2022 - << Previous article Next article >> May 01, 2022 Issue Letters to the Editor Upright Walkers as Mobility Assistive Devices for Older Adults Am Fam Physician. 2022 May ;105(5):online. Original Article: Mobility Assistive Device Use in Older Adults Issue Date: June 15, 2021 Available...

American Family Physician : Letter

https://www.aafp.org/afp/2022/0500/ol1.html

USPSTF Recommendations for the Management of Dyslipidemia for Cardiovascular Risk ...

May 1, 2022 - << Previous article Next article >> May 01, 2022 Issue Letters to the Editor USPSTF Recommendations for the Management of Dyslipidemia for Cardiovascular Risk Reduction Am Fam Physician. 2022 May ;105(5):online. Original Article: Key Recommendations on Managing Dyslipidemia for...

American Family Physician : Letter

https://www.aafp.org/afp/2022/0500/ol2.html

Vaccination Disagreement Between Parents - Curbside Consultation - American Family ... Restricted content. Login required.

May 1, 2022 - In addressing this case, it is important to note that the dissenting parent (the mother) has not informed the family physician that she adamantly opposes giving the vaccine; this opposition would provide explicit proscription. Importantly, in a legal context, a parent (the father) who ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2022/0500/p544.html

Virtual Reality in the Treatment of Generalized Anxiety Disorder - FPIN's Clinical ... Restricted content. Login required.

Dec 1, 2021 - Virtual reality does not appear to be effective and should not be used in the treatment of generalized anxiety disorder. In trials including anxiety disorders such as phobias and fear of flying, virtual reality may be better than no treatment, but it is not superior to traditional ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1200/p638.html

Virtual vs. In-Person Pulmonary Rehabilitation for Chronic Lung Disease - Cochrane for ... Restricted content. Login required.

Feb 1, 2022 - For patients with chronic obstructive pulmonary disease, virtual pulmonary rehabilitation is equivalent to in-person pulmonary rehabilitation at reducing symptoms of breathlessness and increasing six-minute walking distance. Participants in both virtual and in-person pulmonary ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0200/p135.html

Weight-Based Levothyroxine Dosage Adjustment for Hypothyroidism - Letters to the Editor...

Jan 1, 2022 - << Previous article Next article >> Jan 01, 2022 Issue Letters to the Editor Weight-Based Levothyroxine Dosage Adjustment for Hypothyroidism Am Fam Physician. 2022 Jan ;105(1):6-7. Original Article: Hypothyroidism: Diagnosis and Treatment Issue Date: May 15, 2021 See additional...

American Family Physician : Letter

https://www.aafp.org/afp/2022/0100/p6.html

What You Need to Know About Sleep for Your Child - American Family Physician

Feb 1, 2022 - << Previous article Next article >> Feb 01, 2022 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2022/0200/p168-s1.html

Where Clinical Practice Guidelines Go Wrong - Editorials - American Family Physician

Apr 1, 2022 - Clinical practice guidelines, essential tools for evidence-based practice, have proliferated over the past few decades but remain controversial for several reasons.

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0400/p350.html

Why Physicians Should Not Prescribe Aducanumab for Alzheimer Disease - Editorials - ...

Apr 1, 2022 - Guidance to clinicians about how to approach use of the Alzheimer treatment aducanumab (Aduhelm) and other newly approved medications.

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0400/p353.html

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