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Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ... Restricted content. Login required.

Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p16.html

Tapering Long-Term Opioid Therapy - Curbside Consultation - American Family Physician Restricted content. Login required.

Jan 1, 2020 - My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0101/p49.html

Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ... Restricted content. Login required.

Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p17.html

Breast Implant—Associated Anaplastic Large Cell Lymphoma - Editorials - American Family...

Jan 1, 2020 - In October 2019, the FDA released draft guidance offering numerous recommendations to help ensure women have access to breast implant benefit and risk information, including that manufacturers incorporate a boxed warning and patient decision checklist in the device’s labeling, and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0101/p8.html

Exercise to Reduce Falls in Older Adults - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Jan 1, 2020 - Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0101/p42.html

Addition of Steroids Improves Outcomes in Children and Adults with CAP - POEMs - ... Restricted content. Login required.

Jan 1, 2020 - Adding corticosteroid treatment to the management of CAP is beneficial for children and adults. Treatment decreases clinical failures, time in the hospital, and the risk of death in adults with severe pneumonia.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p55.html

C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ... Restricted content. Login required.

Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p54.html

Adding Ultrasonography to Mammography Increases False-Positive Findings Without an ... Restricted content. Login required.

Jan 1, 2020 - Adding ultrasonography to screening mammography in women younger than 50 years at low, intermediate, or high breast cancer risk is not associated with an increase in breast cancer detection. It is associated with increased unnecessary biopsy recommendations and results in more frequent ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p53a.html

Warfarin Dosages, PCOS, Varicose Veins, Gastroenteritis in Children, Plantar Fasciitis ... Restricted content. Login required.

Jan 1, 2020 - 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/2020/0101/p10.html

Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ... Restricted content. Login required.

Jan 1, 2020 - Hepatic encephalopathy is a brain dysfunction that can be mild with minimal confusion, or overt and severe with coma. Learn more about branched-chain amino acids for the treatment of hepatic encephalopathy.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0101/od1.html

A Shrinking Primary Care Workforce in Puerto Rico - Graham Center Policy One-Pagers - ...

Jan 1, 2020 - In 2018, two-thirds of primary care physicians in Puerto Rico were older than 55 years, compared with 43% nationwide. Meanwhile, only four out of every 10 graduates of family medicine residencies from 2011 to 2017 remained on the island in 2018, placing Puerto Rico’s new family ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2020/0101/p13.html

Nodules on the Knuckles - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 1, 2020 - << Previous article Next article >> Jan 1, 2020 Issue Photo Quiz Nodules on the Knuckles MICAH PIPPIN, MD, Louisiana State University Health Sciences Center, Family Medicine Residency, Alexandria, Louisiana Am Fam Physician. 2020 Jan 1;101(1):47-48. A 55-year-old man presented with...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0101/p47.html

Screening for Atrial Fibrillation to Initiate Stroke-Protective Therapy - Letters to ...

Jan 1, 2020 - << Previous article Next article >> Jan 1, 2020 Issue Letters to the Editor Screening for Atrial Fibrillation to Initiate Stroke-Protective Therapy Am Fam Physician. 2020 Jan 1;101(1):6-7. Original Article: Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p6.html

Physicians Can Help Patients Begin Grieving Process for Loss of a Loved One - Letters ...

Jan 1, 2020 - Jan 1, 2020 Issue Letters to the Editor Physicians Can Help Patients Begin Grieving Process for Loss of a Loved One Am Fam Physician. 2020 Jan 1;101(1):7. Original Article: Helping Patients Cope with Grief [Curbside Consultation] Issue Date: July 1, 2019 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p7.html

Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients ...

Jan 1, 2020 - Jan 1, 2020 Issue Letters to the Editor Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients with Acute Cough Am Fam Physician. 2020 Jan 1;101(1):5. Original Article: Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia [Point-of-Care...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p5.html

Lymphoma: Diagnosis and Treatment - American Family Physician

Jan 1, 2020 - << Previous article Next article >> Jan 1, 2020 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/2020/0101/p34-s1.html

Cirrhosis: Diagnosis and Management - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p759.html

Influenza: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Influenza is an acute viral respiratory infection that causes significant morbidity and mortality worldwide. Three types of influenza cause disease in humans. Influenza A is the type most responsible for causing pandemics because of its high susceptibility to antigenic variation. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p751.html

Amblyopia: Detection and Treatment - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Amblyopia is the leading cause of monocular vision loss in children. Early recognition and treatment are important to prevent vision loss. The U.S. Preventive Services Task Force recommends vision screening for all children at least once between three and five years of age to detect the...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p745.html

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ... Restricted content. Login required.

Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1215/p782.html

Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides... Restricted content. Login required.

Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/1215/p778.html

Overuse of Statins in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Dec 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2019/1215/p742.html

Rash on the Ankle - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 15, 2019 - A man presented with a vesicular rash on his ankle in a serpentine-like pattern.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1215/p773.html

Screening for Pancreatic Cancer - Putting Prevention into Practice - American Family ... Restricted content. Login required.

Dec 15, 2019 - A 71-year-old woman comes to your office for a regularly scheduled visit. She has type 2 diabetes mellitus and a 50-pack-year smoking history, and had non-ulcer dyspepsia two years ago. Her body mass index is 32 kg per m2, and her blood pressure is normal.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1215/p771.html

Screening for Pancreatic Cancer: Recommendation Statement - U.S. Preventive Services ...

Dec 15, 2019 - The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.

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

https://www.aafp.org/afp/2019/1215/od1.html

One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ... Restricted content. Login required.

Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od5.html

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of... Restricted content. Login required.

Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od4.html

Baloxavir Marboxil (Xofluza) for Influenza - STEPS - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a ...

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1215/p776.html

Augmentation of Antidepressant Treatment Offers Little Benefit - POEMs - American ... Restricted content. Login required.

Dec 15, 2019 - The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is weak.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od3.html

Platelet-Rich Plasma is Equal to Saline for Patients with Patellar Tendinopathy - POEMs... Restricted content. Login required.

Dec 15, 2019 - In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od2.html

Peptic Ulcers, Blood Lead Levels in Children, Diabetic Kidney Disease, VTE, Endometrial... Restricted content. Login required.

Dec 15, 2019 - 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/2019/1215/p740.html

Acute Kidney Injury: Diagnosis and Management - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p687.html

Hypothermia and Cold Weather Injuries - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Hypothermia, frostbite, and nonfreezing cold injuries predominantly affect older adults, homeless or intoxicated people, adventurers, and military personnel. Prevention begins with clothing that is clean, layered, and loose to promote circulation. Base layers made of moisture-wicking ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p680.html

Nonspecific Low Back Pain and Return To Work - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Nonspecific low back pain refers to a condition without a distinct etiology to explain its associated symptoms. This pain may become chronic and is a major cause of work loss around the world. Without a specific explanation for a patient’s symptoms, the family physician is charged with ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p697.html

Occupational Health - American Family Physician

Dec 1, 2019 - Advertisement AFP BY TOPIC Occupational Health Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on occupational health, including back pain and injuries, impairment and disability evaluations,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...

Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1201/p672.html

Diagnosing VTE: Guidelines from the American Society of Hematology - Practice ... Restricted content. Login required.

Dec 1, 2019 - The American Society of Hematology has published recommendations for determining the optimal diagnostic strategy based on pretest risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1201/p716.html

General Health Checks in Adults for Reducing Disease-Related Morbidity and Mortality - ... Restricted content. Login required.

Dec 1, 2019 - General health check visits have no benefit on cardiovascular morbidity or on total, cardiovascular, or cancer-related mortality. There is also no evidence that they cause patient harm.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p676.html

Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians... Restricted content. Login required.

Dec 1, 2019 - Combined oral contraceptives decrease the number of women reporting menorrhagia over six months compared with placebo (absolute risk reduction = 36.7%; number needed to treat = 2.7).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p677.html

Empiric Treatment for Acute Pharyngitis - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 1, 2019 - A woman presented with fever and throat pain, with vesicular lesions over the soft palate and uvula.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1201/p713.html

Alpha Blockers for Nephrolithiasis - FPIN's Clinical Inquiries - American Family Physician Restricted content. Login required.

Dec 1, 2019 - The alpha blocker tamsulosin (Flomax) can be used to improve clearance of stones larger than 5 mm, shorten expulsion times, and reduce hospitalization.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1201/p710.html

Pelvic Floor Muscle Training for Treatment of Urinary Incontinence in Women - Medicine ... Restricted content. Login required.

Dec 1, 2019 - Urinary incontinence is common in adult women, leading to health complications such as rash and urinary tract infections. This review discusses pelvic floor muscle training for the treatment of urinary incontinence in women.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1201/od1.html

Statin Treatment, Early Pregnancy Loss, Ingrown Toenails, Blood Pressure, ADHD, ... Restricted content. Login required.

Dec 1, 2019 - 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/2019/1201/p671.html

A Devoted Couple - Close-ups - American Family Physician

Dec 1, 2019 - Life-long devotion and a mind-body mortality link between spouses.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1201/p709.html

Depression in Children and Adolescents: Evaluation and Treatment - American Family ...

Nov 15, 2019 - The prevalence of major unipolar depression in children and adolescents is increasing in the United States. In 2016, approximately 5% of 12-year-olds and 17% of 17-year-olds reported experiencing a major depressive episode in the previous 12 months. Screening for depression in ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p609.html

Specific Learning Disabilities: The Family Physician's Role - American Family Physician

Nov 15, 2019 - Academic underachievement, such as failing a class and the threat of being held back because of academic issues, is common. Family physicians can provide support and guidance for families as they approach their child’s unique academic challenges. Specific learning disabilities are a ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p628.html

The Changing Climate: Managing Health Impacts - American Family Physician

Nov 15, 2019 - Concentrations of greenhouse gases continue to accumulate in the atmosphere at increasing rates, heating the Earth’s surface and destabilizing climate. Health impacts from climate change may include increased morbidity and mortality from worsening cardiopulmonary health, worsening ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p618.html

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Hydrogen Peroxide 40% (Eskata) for Seborrheic Keratosis - STEPS - American Family ...

Nov 15, 2019 - Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1115/p643.html

Preexposure Prophylaxis for the Prevention of HIV Infection: Recommendation Statement -...

Nov 15, 2019 - The USPSTF recommends that clinicians offer preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition.

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

https://www.aafp.org/afp/2019/1115/od1.html

Screening for HIV Infection: Recommendation Statement - U.S. Preventive Services Task ...

Nov 15, 2019 - The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk of infection should also be screened.

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

https://www.aafp.org/afp/2019/1115/od2.html

Screening for HIV Infection and Preexposure Prophylaxis for the Prevention of HIV ...

Nov 15, 2019 - J.S., a 29-year-old transgender woman, presents for her first maintenance visit with a new family physician. It has been three years since her previous visit with a primary care physician. She has no chronic illnesses, stopped using tobacco products four years ago, and reports that she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1115/p637.html

Climate Change Health Impacts: A Role for the Family Physician - Editorials - American ...

Nov 15, 2019 - Why is climate change a matter of such importance to us as health care professionals, and why must we act?

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/p602.html

Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ...

Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646.html

As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...

Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646a.html

Aspirin for CVD, Scabies, Intimate Partner Violence, Maternal Vaccines, Caregiver ...

Nov 15, 2019 - 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/2019/1115/p606.html

Climate Change: What the Science Tells Us - Editorials - American Family Physician

Nov 15, 2019 - The sounds of alarm increasingly manifested across multiple sectors around the globe are warranted, and the science shows why.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/od3.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.html

Platelet-Rich Plasma Injection Not Beneficial for Nonoperative Treatment of Rotator ...

Nov 15, 2019 - The review found no evidence that supports any additional benefit of platelet-rich plasma injections compared with various control interventions, including saline placebo, in the non-operative treatment of rotator cuff disease in adults.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p647.html

Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...

Nov 15, 2019 - Advertisement Nov 15, 2019 Issue Letters to the Editor Potential Drug Interactions in Patients Taking Oral Contraceptive Pills Am Fam Physician. 2019 Nov 15;100(10):599-600. Original Article: Clinically Relevant Drug-Drug Interactions in Primary Care Issue Date: May 1, 2019 See...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p599.html

Seizure with Brain Lesions - Photo Quiz - American Family Physician

Nov 15, 2019 - Advertisement << Previous article Next article >> Nov 15, 2019 Issue Photo Quiz Seizure with Brain Lesions MERIMA BUCAJ, DO; HENNA PARMAR, MD; and PHILIPPE BIERNY, MD, Abrazo Community Health Network, Phoenix, Arizona Am Fam Physician. 2019 Nov 15;100(10):639-641. A 42-year-old man...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1115/p639.html

Electronic Cigarettes: More Questions Than Answers - Letters to the Editor - American ...

Nov 15, 2019 - Advertisement Nov 15, 2019 Issue Letters to the Editor Electronic Cigarettes: More Questions Than Answers Am Fam Physician. 2019 Nov 15;100(10):600-601. Original Article: Electronic Cigarettes: Common Questions and Answers Issue Date: August 15, 2019 See additional reader comments...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p600.html

Spinosad: A Low-Risk, Effective Treatment for Lice - Letters to the Editor - American ...

Nov 15, 2019 - Advertisement << Previous article Next article >> Nov 15, 2019 Issue Letters to the Editor Spinosad: A Low-Risk, Effective Treatment for Lice Am Fam Physician. 2019 Nov 15;100(10):601. Original Article: Lice and Scabies: Treatment Update Issue Date: May 15, 2019 Available online at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p601.html

Depression in Children and Teens - American Family Physician

Nov 15, 2019 - Advertisement << Previous article Next article >> Nov 15, 2019 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...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/1115/p609-s1.html

Hidradenitis Suppurativa: Rapid Evidence Review - American Family Physician

Nov 1, 2019 - Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p562.html

Stuttering: Understanding and Treating a Common Disability - American Family Physician

Nov 1, 2019 - Childhood-onset fluency disorder, the most common form of stuttering, is a neurologic disability resulting from an underlying brain abnormality that causes disfluent speech. Stuttering can lead to significant secondary effects, including negative self-perception and negative perception ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p556.html

Care of the Military Veteran: Selected Health Issues - American Family Physician

Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p544.html

Pilonidal Disease Management: Guidelines from the ASCRS - Practice Guidelines - ...

Nov 1, 2019 - The American Society of Colon and Rectal Surgeons (ASCRS) has released a clinical practice guideline to provide physicians with diagnosis and treatment options of pilonidal disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1101/p582.html

The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ...

Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/1101/p575.html

Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...

Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1101/p540.html

Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ...

Nov 1, 2019 - Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1101/od2.html

Foot Blisters in a 30-Pack-Year Smoker - Photo Quiz - American Family Physician

Nov 1, 2019 - A woman presented with blisters on the sole of her foot.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1101/p579.html

Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema - Cochrane for...

Nov 1, 2019 - In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95%...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1101/p541.html

Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ...

Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.

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

https://www.aafp.org/afp/2019/1101/p530.html

Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ...

Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/1101/p537.html

Ticagrelor Compared to Clopidogrel in Acute Coronary Syndrome and Stable Coronary ...

Nov 1, 2019 - The authors determined there is no benefit from the use of ticagrelor in patients with acute coronary syndrome and stable coronary artery disease because of the uncertainty about benefits and evidence of potential harms.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1101/od1.html

Breast Problems, Pelvic Pain, Allergic Rhinitis, Polypharmacy, Peripheral Artery ...

Nov 1, 2019 - 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/2019/1101/p526.html

Military Health History: Resources for Use at the Point of Care - Editorials - American...

Nov 1, 2019 - Many clinicians outside of the VA or military are unaware of the importance of specific aspects of the military health history. The clinical expertise of health care professionals in the VA and military health systems can be leveraged to expand training opportunities.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1101/p523.html

What Role Do Benzodiazepines Have in Treating Patients with Anxiety? - Letters to the ...

Nov 1, 2019 - Advertisement << Previous article Next article >> Nov 1, 2019 Issue Letters to the Editor What Role Do Benzodiazepines Have in Treating Patients with Anxiety? Am Fam Physician. 2019 Nov 1;100(9):520. To the Editor: As a psychiatrist embedded within a family practice setting, I have...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1101/p520.html

Benefits of Preparticipation Evaluation Extend Beyond Cardiac Screening - Letters to ...

Nov 1, 2019 - Advertisement Nov 1, 2019 Issue Letters to the Editor Benefits of Preparticipation Evaluation Extend Beyond Cardiac Screening Am Fam Physician. 2019 Nov 1;100(9):520-521. Original Article: Right Care for Children: Top Five Do's and Don'ts Issue Date: March 15, 2019 See additional...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1101/p520a.html

Understanding and Treating Childhood-Onset Stuttering - American Family Physician

Nov 1, 2019 - Advertisement << Previous article Next article >> Nov 1, 2019 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...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/1101/p556-s1.html

Veterans: What to Expect When You Return from Deployment - American Family Physician

Nov 1, 2019 - Advertisement << Previous article Next article >> Nov 1, 2019 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...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/1101/p544-s1.html

Acne Vulgaris: Diagnosis and Treatment - American Family Physician

Oct 15, 2019 - Acne vulgaris is the most prevalent chronic skin disease in the United States, affecting nearly 50 million people per year, mostly adolescents and young adults. Potential sequelae of acne, such as scarring, dyspigmentation, and low self-esteem, may result in significant morbidity. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1015/p475.html

Postpartum Care: An Approach to the Fourth Trimester - American Family Physician

Oct 15, 2019 - The postpartum period, defined as the 12 weeks after delivery, is an important time for a new mother and her family and can be considered a fourth trimester. Outpatient postpartum care should be initiated within three weeks after delivery in person or by phone, and may require multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1015/p485.html

Toilet Training: Common Questions and Answers - American Family Physician

Oct 15, 2019 - Toilet training is a significant developmental milestone in early childhood. Most U.S. children achieve the physiologic, cognitive, and emotional development necessary for toilet training by 18 to 30 months of age. Markers of readiness for toilet training include being able to walk, put...

American Family Physician : Article

https://www.aafp.org/afp/2019/1015/p468.html

Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...

Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.

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

https://www.aafp.org/afp/2019/1015/od1.html

Influenza Vaccination: Updated Recommendations from ACIP - Practice Guidelines - ...

Oct 15, 2019 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2019–2020 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1015/p505.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

What Family Physicians Can Do to Reduce Maternal Mortality - Editorials - American ...

Oct 15, 2019 - Family physicians can catalyze efforts to ensure the safety of all people who give birth and to support well-being during the postpartum period.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1015/p460.html

Elagolix (Orilissa) for Endometriosis Pain - STEPS - American Family Physician

Oct 15, 2019 - Elagolix can decrease pain in women with endometriosis, but it is expensive and has adverse effects similar to those of other medications that decrease estrogen levels.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1015/p502.html

Predicting the Risk of Postoperative Pulmonary Complications - Point-of-Care Guides - ...

Oct 15, 2019 - What is the best approach to evaluate postoperative pulmonary risk?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/1015/p499.html

Flu Vaccine, Car Seats, PTSD, Kidney Stones, Bridging Warfarin - AFP Clinical Answers -...

Oct 15, 2019 - 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/2019/1015/p462.html

Nail Changes Following a Viral Infection - Photo Quiz - American Family Physician

Oct 15, 2019 - Advertisement << Previous article Next article >> Oct 15, 2019 Issue Photo Quiz Nail Changes Following a Viral Infection MARTHA MCGAREY METZGAR, DO, FAAFP, and KEN ZHONGYU ZHANG, MD, St. Luke's Family Medicine Residency, Bethlehem, Pennsylvania Am Fam Physician. 2019 Oct...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1015/p497.html

Pharmacologic Treatment for Older Children with ADHD - Letters to the Editor - American...

Oct 15, 2019 - Advertisement << Previous article Next article >> Oct 15, 2019 Issue Letters to the Editor Pharmacologic Treatment for Older Children with ADHD Am Fam Physician. 2019 Oct 15;100(8):455-456. Original Article: Right Care for Children: Top Five Do's and Don'ts Issue Date: March 15, 2019...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1015/p455.html

Toilet Training - American Family Physician

Oct 15, 2019 - Advertisement << Previous article Next article >> Oct 15, 2019 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...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/1015/p468-s1.html

Anticoagulation: Updated Guidelines for Outpatient Management - American Family Physician

Oct 1, 2019 - Anticoagulation therapy is recommended for preventing, treating, and reducing the recurrence of venous thromboembolism, and preventing stroke in persons with atrial fibrillation. Direct oral anticoagulants are first-line agents for eligible patients for treating venous thromboembolism ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p426.html

Opioid Use Disorder: Medical Treatment Options - American Family Physician

Oct 1, 2019 - Opioid use disorder is highly prevalent and can be fatal. At least 2.1 million Americans 12 years and older had opioid use disorder in 2016, and approximately 47,000 Americans died from opioid overdoses in 2017. Opioid use disorder is a chronic relapsing condition, the treatment of ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p416.html

Hand-Foot-and-Mouth Disease: Rapid Evidence Review - American Family Physician

Oct 1, 2019 - Hand-foot-and-mouth disease is caused by human enteroviruses and coxsackieviruses. Outbreaks can occur in the spring to fall and are common in North America, and most cases occur in patients younger than 10 years. Hand-foot-and-mouth disease is transmitted by fecal-oral, oral-oral, and ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p408.html

Thickened Feedings for Infants with Gastroesophageal Reflux - FPIN's Help Desk Answers ...

Oct 1, 2019 - Bottle-fed infants with gastroesophageal reflux should be given thickened formula feedings.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/1001/p437.html

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