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AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke ...

Jan 15, 2015 - The American Heart Association (AHA) and American Stroke Association (ASA) have updated their guideline on prevention of future stroke in patients with a history of stroke or transient ischemic attack (TIA). Currently, the average annual rate of future stroke in these patients is at a ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0115/p136.html

Secondary Prevention of Coronary Heart Disease in Elderly Patients - American Family ...

Jun 15, 2005 - Coronary heart disease remains a leading cause of mortality in the United States, with 84 percent of persons 65 years or older dying from this disease. Secondary preventive measures, including lifestyle modification and pharmacotherapy, are important for elderly patients because of the ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2289.html

Gabapentin for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

May 1, 2014 - Gabapentin does not decrease the frequency of migraine headaches and is not recommended for prophylactic therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0501/p714.html

Primary Care Interventions to Prevent Tobacco Use in Children and Adolescents: ...

Nov 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/1115/od1.html

Diaphragm Fitting - American Family Physician

Jan 1, 2004 - When used with a spermicide, the diaphragm can be a more effective barrier contraceptive than the male condom. The diaphragm allows female-controlled contraception. It also provides moderate protection against sexually transmitted diseases and is less expensive than some contraceptive ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p97.html

High-Dose Vaccine Reduces Clinical Influenza in Older Adults Compared with Standard ...

Dec 1, 2014 - High-dose influenza vaccine provided a 25% relative reduction in the likelihood of developing laboratory-confirmed influenza compared with standard-dose vaccine in patients 65 years and older. This corresponds to a number needed to treat of approximately 220 to prevent a ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1201/p796.html

A Practical Guide to Infant Oral Health - American Family Physician

Dec 1, 2004 - Early childhood caries is the most common chronic disease in young children and may develop as soon as teeth erupt. Bacteria, predominately mutans streptococci, metabolize simple sugars to produce acid that demineralizes teeth, resulting in cavities. Physicians should examine children's...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2113.html

Primary Care Interventions to Prevent Tobacco Use in Children and Adolescents - Putting...

Nov 15, 2014 - A 14-year-old male high school student presents for a preparticipation physical examination. He just started the 9th grade and is trying out for his school's football team. He is a nonsmoker and has never used illicit drugs. However, his parents are longtime smokers, and some of his ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1115/p723.html

Primary Care Physicians' Role in Counseling About Gun Safety - Editorials - American ...

Nov 1, 2014 - News stories of gun violence have ignited the debate about what public health measures are appropriate for reducing the epidemic of gun injury and death. With the shooting rate climbing, primary care physicians may reasonably ask what role they can play in reducing injuries.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/1101/p619.html

Taking a Nutrition History: A Practical Approach for Family Physicians - American ...

Mar 15, 1999 - The association between nutrition and health has been clearly documented. Primary care physicians are expected to address nutrition and dietary behavior issues with their patients in the context of a brief clinical encounter. This article proposes the use of a short interview form, with...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1521.html

Topiramate for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

Jul 1, 2014 - Topiramate in a dosage of 100 mg per day is effective for decreasing the frequency of headaches in adults with episodic migraine.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p24.html

Medications for Risk Reduction of Primary Breast Cancer in Women: Recommendation ...

Nov 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians engage in shared, informed decision making with women who are at increased risk of breast cancer about medications to reduce their risk. For women who are at increased risk of breast cancer and at low risk of ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/1101/od1.html

Omega-3 Fatty Acid Supplementation Does Not Decrease CVD-Related Outcomes - POEMs - ...

Nov 1, 2014 - Omega-3 fatty acid supplementation does not decrease the risk of cardiovascular outcomes in this older population. Although the numbers are small, supplementation may prevent heart disease in patients already at low risk; that is, patients without a history of cardiovascular disease ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1101/p662.html

Management of Influenza in the 2014-2015 Season: Recommendations and Limitations - ...

Oct 15, 2014 - This editorial summarizes the extent of benefits expected from immunization, testing, and antiviral treatment of influenza for the 2014–2015 season.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/1015/p535.html

ACIP Releases Updated Recommendations on Influenza Vaccination to Include the 2014-2015...

Oct 15, 2014 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its yearly recommendations for routine influenza vaccination in the 2014–2015 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1015/p584.html

Antibiotic Resistance Threats in the United States: Stepping Back from the Brink - ...

Jun 15, 2014 - Preventing and controlling resistance requires the engagement of many different sectors of society. However, the physician's role in this effort is singularly important.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0615/p938.html

Antenatal Perineal Massage to Prevent Birth Trauma - Cochrane for Clinicians - American...

Mar 1, 2014 - Antenatal digital perineal massage in the final month of pregnancy is safe and well tolerated. Women who have not had a previous vaginal delivery and perform digital perineal massage in the final month of pregnancy experience less perineal birth trauma, mostly through fewer ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0301/p335.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

Prophylactic Antibiotics for the Prevention of COPD Exacerbation - Cochrane for ...

Jun 1, 2014 - Continuous prophylactic antibiotic therapy significantly decreases COPD exacerbations for up to three years. However, it does not decrease mortality, and it puts the patient at risk of antibiotic-resistant colonization and infection.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0601/p870.html

ACE Inhibitors Decrease Cardiovascular Events in Patients with Diabetes, ARBs Do Not - ...

Sep 1, 2014 - In patients with diabetes, ACE inhibitors decrease cardiovascular events and all-cause mortality. ARBs do not. Both drug classes decrease heart failure incidence. Although both drug classes have been available for almost 15 years, there is only one study of 250 patients that directly ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p326.html

Primary Care Interventions to Prevent Child Maltreatment: Recommendation Statement - ...

Aug 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment. This recommendation applies to children who do not have signs or symptoms of ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/0815/od1.html

Anastrozole Decreases Rate of Breast Cancer in High-Risk Postmenopausal Women - POEMs -...

Aug 15, 2014 - Postmenopausal women at high risk of developing breast cancer who take anastrozole for five years have a lower rate of developing invasive breast cancer during that time frame.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0815/od7.html

Primary Care Interventions to Prevent Child Maltreatment - Putting Prevention into ...

Aug 15, 2014 - A young couple comes to your clinic with their adopted four-year-old daughter for her annual well-child visit. On physical examination, the patient appears to be well developed and well nourished, and measures in the 75th percentile for her height and weight.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0815/p255.html

Preventive Strategies in Chronic Liver Disease: Part I. Alcohol, Vaccines, Toxic ...

Nov 1, 2001 - Chronic liver disease is the 10th leading cause of death in the United States. Hepatitis C virus infection is the most frequent cause of chronic liver disease and the most common indication for liver transplantation. Preventive care can significantly reduce the progression of liver ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1101/p1555.html

New Anticoagulants vs. Warfarin in Atrial Fibrillation: No Clear Winner - POEMs - ...

Jul 15, 2014 - In this meta-analysis, newer anticoagulants appear to be slightly more effective than warfarin in the short term (two years) in preventing strokes of all kinds in patients with atrial fibrillation. However, they are no more effective than warfarin in preventing ischemic strokes, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0715/p110a.html

Acute Management of Atrial Fibrillation: Part II. Prevention of Thromboembolic ...

Jul 15, 2002 - Family physicians should be familiar with the acute management of atrial fibrillation and the initiation of chronic therapy for this common arrhythmia. Initial management should include hemodynamic stabilization, rate control, restoration of sinus rhythm, and initiation of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0715/p261.html

Psychosocial and Psychological Interventions for Preventing Postpartum Depression - ...

Jun 1, 2014 - A range of prevention strategies can reduce the risk of postpartum depression, but more study is needed to determine which interventions are most effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0601/p871.html

Vitamin D and Calcium Supplementation to Prevent Fractures in Adults - Putting ...

Jun 1, 2014 - A 55-year-old woman presents to your office for a refill of her blood pressure medication. She is otherwise healthy and does not take other medications. She states that her older sister has been taking vitamin D and calcium supplements for several years to keep her bones strong, and ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0601/p897.html

Vaccinations in Pregnancy - American Family Physician

Jul 15, 2003 - Adult immunization rates have fallen short of national goals partly because of misconceptions about the safety and benefits of current vaccines. The danger of these misconceptions is magnified during pregnancy, when concerned physicians are hesitant to administer vaccines and patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0715/p299.html

Evidence to Guide Measles Immunization Recommendations - AFP Journal Club - American ...

May 15, 2014 - Although measles vaccination is rarely associated with fever and seizures in children, the benefits of immunization outweigh the risks. Parents should be encouraged to follow recommended immunization schedule and avoid the MMR and varicella combination vaccine.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2014/0515/p786.html

The Geriatric Patient: A Systematic Approach to Maintaining Health - American Family ...

Feb 15, 2000 - The number of persons 65 years of age and older continues to increase dramatically in the United States. Comprehensive health maintenance screening of this population is becoming an important task for primary care physicians. As outlined by the U.S. Preventive Services Task Force, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1089.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

Pharmacologic Prevention of Osteoporotic Fractures - American Family Physician

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

American Family Physician : Article

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

Preventing Recurrent Nephrolithiasis in Adults - Implementing AHRQ Effective Health ...

Mar 15, 2014 - What are the potential benefits and adverse effects associated with dietary and pharmacologic interventions to prevent recurrence of kidney stones in adults 18 years and older?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2014/0315/p461.html

Stroke: Strategies for Primary Prevention - American Family Physician

Dec 15, 2003 - Stroke is a leading cause of morbidity and mortality in North America. Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2379.html

Primary Prevention of Child Abuse - American Family Physician

Mar 15, 1999 - In 1993, the U.S. Advisory Board on Child Abuse and Neglect declared a child protection emergency. Between 1985 and 1993, there was a 50 percent increase in reported cases of child abuse. Three million cases of child abuse are reported in the United States each year. Treatment of the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1577.html

Optimal Use of IUDs: Why Aren't We There Yet? - Editorials - American Family Physician

Mar 15, 2014 - IUDs are safe and effective. Physicians with an understanding of IUD procedures and of their benefits and risks are more likely to appropriately counsel their patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0315/p434.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

Emtricitabine/Tenofovir (Truvada) for HIV Prophylaxis - STEPS - American Family Physician

Oct 15, 2013 - When used with a comprehensive HIV prevention strategy, emtricitabine/tenofovir effectively prevents HIV-1 infection in high-risk patients. Adherence to daily dosing is important to maintain protection. The cost of therapy may limit access, and not all insurance companies currently ...

American Family Physician : STEPS

https://www.aafp.org/afp/2013/1015/p535.html

The Maternal Health Benefits of Breastfeeding - Editorials - American Family Physician

May 1, 2015 - Advertisement << Previous article Next article >> May 1, 2015 Issue Editorials The Maternal Health Benefits of Breastfeeding ELEANOR B. SCHWARZ, MD, MS, University of California–Davis, Sacramento, California MELISSA NOTHNAGLE, MD, MSC, Brown University, Providence, Rhode Island Am...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0501/p602.html

Pelvic Floor Muscle Training Does Not Reduce Postpartum Urinary Incontinence - POEMs - ...

Mar 1, 2014 - This intervention, which included primiparous women with and without urinary incontinence at six weeks post-partum, demonstrated that intensive supervised pelvic floor muscle training did not reduce the prevalence of urinary incontinence at six months. These results are noteworthy ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0301/p390.html

Nut Consumption Associated with Reduced Mortality - POEMs - American Family Physician

Mar 1, 2014 - In a study of health professionals, nut consumption was associated with reduced all-cause mortality. This was primarily because of a reduction in heart disease associated with any nut consumption and a reduction in cancer associated with tree nut consumption.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0301/p389.html

ACIP Releases 2014 Adult Immunization Schedule - Practice Guidelines - American Family ...

Feb 15, 2014 - The 2014 immunization schedule for adults from the Advisory Committee on Immunization Practices (ACIP) has a few changes that are particularly relevant to family physicians. The schedule is available at http://www.aafp.org/patient-care/immunizations/schedules.html.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0215/p302.html

Emergency Postcoital Contraception - American Family Physician

Nov 15, 2000 - Emergency postcoital contraception, a method used to prevent pregnancy after unprotected sexual intercourse, is a highly effective but underutilized birth control option. Two hormone regimens, ethinyl estradiol (100 microg) with levonorgestrel (0.5 mg) or high-dose levonorgestrel (0.75 ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2287.html

What's New in Childhood Vaccines - Editorials - American Family Physician

Feb 1, 2014 - Recommending and providing childhood vaccines is a vital part of a family physician's role in delivering health care to our youth. This editorial reviews several changes in childhood vaccines in the past two years.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0201/p153.html

AHA Releases Updated Guidelines on the Prevention of Infective Endocarditis - Practice ...

Feb 15, 2008 - The American Heart Association (AHA) has released updated guidelines on the prevention of infective endocarditis. Many studies have questioned the effectiveness of antibiotic prophylaxis for prevention of infective endocarditis in patients undergoing dental or gastrointestinal (GI) or ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0215/p538.html

Influenza Vaccine Reduces Risk of Adverse Cardiovascular Events in High-Risk Patients -...

Feb 1, 2014 - This meta-analysis found that the influenza vaccine is associated with a significantly lower risk of major adverse cardiovascular events in adults with coronary disease. The benefit of influenza vaccination is strongest in adults with a history of recent acute coronary syndrome within ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p224a.html

ACIP Releases 2014 Child and Adolescent Immunization Schedules - Practice Guidelines - ...

Feb 1, 2014 - There are a few changes to the 2014 immunization schedule for children and adolescents, as well as the catch-up schedule, from the Advisory Committee on Immunization Practices (ACIP) that are pertinent for family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0201/p229.html

Smallpox Vaccine: Contraindications, Administration, and Adverse Reactions - American ...

Sep 1, 2003 - Since the terrorist attacks of September 11, 2001, and the anthrax exposures in the following weeks, concern that smallpox could be used as a biologic weapon has increased. Public health departments and the U.S. military have begun the process of vaccinating soldiers and civilian ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p889.html

Travel Immunizations - American Family Physician

Jul 1, 2004 - Advising travelers on vaccine-preventable illnesses is increasingly becoming the responsibility of primary care physicians. The approach to vaccine recommendations should be based on a thorough assessment of the risks for travel-related diseases, the time available before trip ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p89.html

Promoting and Prescribing Exercise in the Elderly - American Family Physician

Feb 1, 2002 - Regular exercise provides a myriad of health benefits in older adults, including improvements in blood pressure, diabetes, lipid profile, osteoarthritis, osteoporosis, and neurocognitive function. Regular physical activity is also associated with decreased mortality and age-related ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0201/p419.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

Are Cranberry Products Effective for the Prevention of Urinary Tract Infections? - ...

Dec 1, 2013 - Cranberry products are not effective and should not be recommended for the prevention of UTIs.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1201/p745.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

Does Delaying Complementary Foods Protect Children Against Allergic and Atopic ...

Dec 15, 2013 - Breastfeeding duration, rather than exclusivity, may be the most important factor in prevention of atopic diseases. Earlier introduction of foods commonly associated with allergies may help prevent allergic and atopic diseases, but these data are inconclusive.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2013/1215/p818.html

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

Is Natural Family Planning a Highly Effective Method of Birth Control? Yes: Natural ...

Nov 15, 2012 - Yes: Natural Family Planning Is Highly Effective and Fulfilling. Natural family planning (NFP) is an effective and fulfilling method of avoiding pregnancy that has developed significantly over the past 80 years.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1115/od1.html

Finasteride Prevents Low-Grade Prostate Cancers, but Does Not Reduce Mortality - POEMs ...

Dec 1, 2013 - Although finasteride prevents low-grade prostate tumors, it does not affect overall survival or survival after prostate cancer diagnosis. Although high-grade cancers were more common among men taking finasteride, up to 18 years of follow-up failed to show increased mortality in this group.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1201/p744.html

Aspirin Is as Safe and Effective as LMWH for Extended Thromboprophylaxis After Total ...

Dec 1, 2013 - Aspirin is as effective as dalteparin for extended thromboprophylaxis in patients who had total hip arthroplasty and had initially received 10 days of dalteparin prophylaxis postoperatively. Because of its relative safety, low cost, and easy administration, aspirin is an attractive ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1201/p739.html

Prevention of Herpes Zoster in Older Adults - Cochrane for Clinicians - American Family...

Nov 1, 2013 - The herpes zoster (shingles) vaccine has demonstrated effectiveness in preventing shingles in older adults. Vaccination benefit was greater in persons 60 to 69 years of age than in those 70 years and older. Local injection site reactions were common.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1101/p578.html

Low-Dose Penicillin Prevents Recurrent Cellulitis - POEMs - American Family Physician

Nov 1, 2013 - For patients with at least two previous episodes of cellulitis in the previous three years, low-dose penicillin can prevent recurrence (number needed to treat = 6).

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/p608a.html

n-3 Fatty Acids Do Not Prevent Cardiovascular Events in High-Risk Patients - POEMs - ...

Nov 1, 2013 - There is no evidence that n-3 fatty acids prevent cardiovascular events or death in older adults who have cardiovascular disease (or who are at risk of it but have not had a myocardial infarction).

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/od2.html

Breast Cancer Prevented in Some Women with Drug Treatment - POEMs - American Family ...

Nov 1, 2013 - In some postmenopausal women at higher-than-average risk of breast cancer, tamoxifen and, to a lesser extent, raloxifene (Evista) will prevent the development of breast cancer. For every 1,000 women who receive the prophylaxis, there will be seven to nine fewer cases of diagnosed breast...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/p608.html

Kidney Stones: Prevention Options - POEMs - American Family Physician

Nov 1, 2013 - Increased fluid intake or decreased soft drink intake may prevent further kidney stones in patients with a single episode of a calcium stone, but other dietary interventions are not effective. Thiazides and citrates with increased fluid intake decrease recurrence in patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/p609a.html

ACIP Releases Influenza Vaccination Updates for 2013-2014 - Practice Guidelines - ...

Oct 15, 2013 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has updated its annual guidelines for routine influenza vaccination in 2013–2014. Vaccination is recommended for all persons six months or older who do not have contraindications.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1015/p543.html

Counseling Issues in Tubal Sterilization - American Family Physician

Mar 15, 2003 - Female sterilization is the number one contraceptive choice among women in the United States. Counseling issues include ensuring that the woman understands the permanence of the procedure and knowing the factors that correlate with future regret. The clinician should be aware of the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1287.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

AAN/AHS Update Recommendations for Migraine Prevention in Adults - Practice Guidelines ...

Apr 15, 2013 - Studies suggest that more than one-third of persons with migraine need preventive therapy; however, only 3 to 13 percent use it. The American Academy of Neurology (AAN) and American Headache Society (AHS) recently reviewed studies published since 2000 to determine which therapies reduce...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0415/p584.html

Travel Medicine: Helping Patients Prepare for Trips Abroad - American Family Physician

Aug 1, 1998 - One third of persons who travel abroad experience a travel-related illness, usually diarrhea or an upper respiratory infection. The risk of travelers' diarrhea can be reduced by eating only freshly prepared, hot foods. Combination therapy with a single dose of ofloxacin plus loperamide ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p383.html

Antiretroviral Preexposure Prophylaxis for Preventing HIV Infection in High-Risk ...

Aug 1, 2013 - For some groups of patients at greater risk of HIV infection (e.g., serodiscordant partners, men who have sex with men and engage in high-risk behaviors, persons with multiple concurrent sex partners, persons who exchange sex for money), preexposure prophylaxis decreased the risk of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0801/p172.html

Anticipatory Guidance in Infant Oral Health: Rationale and Recommendations - American ...

Jan 1, 2000 - If appropriate measures are applied early enough, it may be possible to totally prevent oral disease. The American Academy of Pediatric Dentistry recommends that infants be scheduled for an initial oral evaluation within six months of the eruption of the first primary tooth but by no ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p115.html

Vaccine Adverse Events: Separating Myth from Reality - American Family Physician

Dec 1, 2002 - Vaccines have turned many childhood diseases into distant memories in industrialized countries. However, questions have been raised about the safety of some vaccines because of rare but serious adverse effects that have been attributed to them. Pain, swelling, and redness at the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2113.html

ACP Recommendations for VTE Prophylaxis in Hospitalized Patients - Practice Guidelines ...

Jun 15, 2012 - Most hospitalized patients have at least one risk factor for venous thromboembolism (VTE), such as pulmonary embolism or deep venous thrombosis. The American College of Physicians (ACP) has released guidelines on VTE prophylaxis in hospitalized, nonsurgical patients, including those ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0615/p1204.html

Immunizations in Pregnancy - Editorials - American Family Physician

Jun 15, 2013 - Family physicians, even if not providing prenatal care, can play a critical role in maintaining current vaccinations in pregnant women. Learn which vaccinations to consider and which to avoid.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0615/p828.html

Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity ...

Jun 15, 2013 - Case Study: G.H., a 35-year-old woman, presents for a routine preventive visit. She has no chronic illnesses or significant family history of disease. She does not smoke, but admits she does not exercise regularly or eat a very healthy diet. She drinks a moderate amount of alcohol.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2013/0615/p869.html

Is Rivaroxaban Noninferior to Standard Warfarin Therapy in Preventing Recurrent PE and ...

Jun 15, 2013 - A trial showing that one drug is noninferior to another does not mean that these drugs are equivalent. The noninferiority margin allows researchers to choose their own benchmark for what is considered a clinically significant difference between two drugs.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2013/0615/p872.html

Contraceptive Education for Women After Childbirth - Cochrane for Clinicians - American...

Jun 1, 2013 - Postpartum education may increase contraceptive use and reduce unplanned repeat pregnancies, although the evidence is mixed. The optimal timing and content of educational programs are not known.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0601/p761.html

Prevention and Treatment of Common Eye Injuries in Sports - American Family Physician

Apr 1, 2003 - Sports have become increasingly popular and account for numerous eye injuries each year. The sports that most commonly cause eye injuries, in order of decreasing frequency, are basketball, water sports, baseball, and racquet sports. Sports are classified as low risk, high risk, and very...

American Family Physician : Article

https://www.aafp.org/afp/2003/0401/p1481.html

AHA/ASA Publish Advisory on Oral Antithrombotics for Stroke Prevention in Nonvalvular ...

May 15, 2013 - New antithrombotics provide alternatives to warfarin, and may lower the threshold for thromboembolic risk for initiating therapy in patients with atrial fibrillation. This advisory summarizes existing American Heart Association/American Stroke Association (AHA/ASA) recommendations on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0515/p732.html

Antioxidant Vitamins and the Prevention of Coronary Heart Disease - American Family ...

Sep 1, 1999 - Clinical use of antioxidant vitamin supplementation may help to prevent coronary heart disease (CHD). Epidemiologic studies find lower CHD morbidity and mortality in persons who consume larger quantities of antioxidants in foods or supplements. Clinical trials indicate that ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p895.html

Dietary Fat Modification and the Risk of Future Cardiovascular Events and Mortality - ...

May 1, 2013 - According to the authors of this Cochrane review, reducing or modifying a patient's dietary fat intake did not lower the rates of either total or cardiovascular-related mortality when compared with usual or control diets. Reducing the intake of total or saturated fats decreased the risk...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0501/p609.html

Appropriate Use of Polypharmacy for Older Patients - Cochrane for Clinicians - American...

Apr 1, 2013 - Multidisciplinary interventions that address polypharmacy decrease inappropriate prescribing and medication-related problems in patients 65 years and older, but it is not clear if they reduce hospital admissions or improve quality of life. Most interventions studied were led by ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0401/p483.html

Reducing Cardiovascular Disease Risk in Patients with Type 2 Diabetes: A Message from ...

Oct 15, 2003 - Cardiovascular disease is responsible for 65 percent of deaths in persons with type 2 diabetes. However, awareness of cardiovascular disease risk factors among patients with diabetes remains low, resulting in missed opportunities to lower risks for coronary events and strokes. The ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1569.html

Vitamin D Supplementation for Women During Pregnancy - Cochrane for Clinicians - ...

Mar 1, 2013 - In several small, low-quality trials, vitamin D supplementation in pregnancy was associated with a statistically nonsignificant trend toward a decreased risk of low birth weight. There is insufficient evidence to recommend routine vitamin D supplementation in pregnancy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0301/p314.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

Prevention of Malaria in Travelers - American Family Physician

Aug 1, 2003 - Malaria is a major international public health problem, responsible for considerable morbidity and mortality around the world each year. As travel to tropical locations increases, U.S. physicians are being asked more frequently to provide recommendations for malaria prevention. An ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p509.html

Malaria Prevention in Travelers - American Family Physician

May 1, 1999 - The prevention of malaria in travelers is becoming a more challenging clinical and public health problem because of the global development of drug-resistant Plasmodium strains of malaria and the increasing popularity of travel to exotic locales. Travelers can reduce their risk of ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2523.html

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions: ...

Mar 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) recommends against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2013/0315/od1.html

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions - Putting ...

Mar 15, 2013 - Case Study: A 59-year-old healthy, postmenopausal woman presents for a routine health maintenance visit. She has an intact uterus and no history of skeletal fractures. She asks if menopausal hormone therapy would help prevent chronic illness, specifically stroke and dementia.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2013/0315/p437.html

The Proactive Sexual Health History: Key to Effective Sexual Health Care - American ...

Nov 1, 2002 - Family physicians must proactively address the sexual health of their patients. Effective sexual health care should address wellness considerations in addition to infections, contraception, and sexual dysfunction. However, physicians consistently underestimate the prevalence of sexual ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1705.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

AHA/ASA Guidelines on Prevention of Recurrent Stroke - Practice Guidelines - American ...

Apr 15, 2011 - Persons who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have released updated guidelines on preventing recurrent stroke in patients who have had a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0415/p993.html

Impact of Breastfeeding Support - Cochrane for Clinicians - American Family Physician

Feb 1, 2013 - Proactive support in many forms, provided by health care professionals or laypersons, increases the duration of any breastfeeding (including partial and exclusive) and exclusive breastfeeding. Face-to-face support is superior to telephone-based interventions. Support for continued ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0201/p176.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? Yes: The Potential ...

Feb 1, 2013 - The bolus administration of this micronutrient should be abandoned in most circumstances, and patients should be encouraged to obtain their calcium intake from an appropriately balanced diet.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od1.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? No: Concerns Are ...

Feb 1, 2013 - When patients are randomized and cardiovascular events are carefully adjudicated, there is no compelling evidence that calcium supplementation increases the rate of major cardiovascular events.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od2.html

ACIP Releases 2013 Immunization Schedules - Practice Guidelines - American Family ...

Feb 1, 2013 - Advisory Committee on Immunization Practices (ACIP) Releases 2013 Immunization Schedules. First, the format of the routine child and adolescent schedules has changed and the two previous age-based schedules (0 to six years and seven to 18 years of age) have been merged into one 0- to ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0201/p204.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

Implementing the Guidelines for Adolescent Preventive Services - American Family Physician

May 1, 1998 - The Guidelines for Adolescent Preventive Services (GAPS) include recommendations developed and promoted by the American Medical Association's Department of Adolescent Health and are intended to organize, restructure and redefine health care delivery for 11- to 21-year-old patients. Data...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2181.html

Combination Vaccines for Childhood Immunization - American Family Physician

May 1, 1999 - An increasing number of new and improved vaccines to prevent childhood diseases are being introduced. Combination vaccines represent one solution to the problem of increased numbers of injections during single clinic visits. This statement provides general guidance on the use of ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2565.html

Interventions to Reduce Cardiovascular Risk Factors in Children and Adolescents - ...

Apr 15, 1999 - Certain modifiable risk factors for cardiovascular disease have their beginnings in childhood. Cigarette smoking, hypertension, physical inactivity, obesity, hypercholesterolemia, hyperinsulinemia, homocysteinemia and poor nutrition in childhood and adolescence may all contribute to the...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2211.html

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