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Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer in ...

Jan 15, 2015 - The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an ...

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

https://www.aafp.org/afp/2015/0115/od1.html

HIV Prevention: Recommendations from the International Antiviral Society—USA Panel - ...

Apr 1, 2015 - With the introduction of combination antiretroviral therapy (ART), human immunodeficiency virus (HIV) has become a chronic disease that can be managed, rather than a deadly infection. The International Antiviral Society—USA Panel has provided recommendations regarding these approaches ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0401/p495.html

Screening for Oral Cancer - Putting Prevention into Practice - American Family Physician

Mar 15, 2015 - A.C. is a 35-year-old man with a 15-year history of using chewing tobacco. He quit five years ago at his wife's urging. Although A.C. has no current symptoms, his wife asked him to make an appointment to get screened for oral cancer.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0315/p387.html

AHA/ASA Release Guideline on Stroke Prevention in Women - Practice Guidelines - ...

Mar 1, 2015 - The American Heart Association and American Stroke Association (AHA/ASA) have released a guideline to help physicians identify women with increased risk of stroke and initiate appropriate preventive measures. The guideline includes recommendations on pregnancy and stroke; cerebral ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0301/p330.html

Lung Cancer Screening Is Cost-Effective, but Only If Done Correctly - POEMs - American ...

Mar 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) gave lung cancer screening a B recommendation on the basis of the reductions in disease-specific mortality and all-cause mortality seen in the National Lung Screening Trial (NLST). The NLST does not consider cost or cost-effectiveness in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0301/p328.html

Child Safety Seat Counseling: Three Keys to Safety - American Family Physician

Aug 1, 2005 - The number one cause of death for children younger than 14 years is vehicular injury. Child safety seats and automobile safety belts protect children in a crash if they are used correctly, but if a child does not fit in the restraint correctly, it can lead to injury. A child safety seat...

American Family Physician : Article

https://www.aafp.org/afp/2005/0801/p473.html

Vitamin, Mineral, and Multivitamin Supplements for the Primary Prevention of ...

Jan 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of the use of multivitamins for the prevention of cardiovascular disease or cancer.

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

https://www.aafp.org/afp/2015/0101/od1.html

Should Family Physicians Screen for Testosterone Deficiency in Men? No: Screening May ...

Feb 15, 2015 - Testosterone testing leads to testosterone treatment, which is inappropriate for the vast majority of patients. Testosterone treatment should be reserved for patients who are truly hypogonadal.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p226.html

Screening for Primary Hypertension in Children and Adolescents - Putting Prevention ...

Feb 15, 2015 - L.S. is a 14-year-old black adolescent who presents for a routine school physical examination. Her mother tells you that she and her husband have hypertension, and they worry about their daughter's blood pressure. She asks you whether L.S. should be periodically checked for high blood ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0215/p257.html

Low-Carbohydrate Diet Better Than Low-Fat Diet to Reduce Cardiovascular Risk Factors ...

Feb 15, 2015 - More than 40 years ago, Dr. Robert Atkins wrote his first book advocating for a low-carbohydrate diet to cause and sustain weight loss. This study (of mostly women) found that a low-carbohydrate diet—though not as severe a diet as the Atkins approach—caused an average 3.5 kg (7.7 lb) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0215/p262.html

Primary Care Behavioral Interventions to Reduce Illicit Drug and Nonmedical ...

Mar 1, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care–based behavioral interventions to prevent or reduce illicit drug or nonmedical pharmaceutical use in children and adolescents. This recommendation applies to ...

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

https://www.aafp.org/afp/2015/0301/od2.html

ACIP Releases 2015 Adult Immunization Schedule - Practice Guidelines - American Family ...

Feb 15, 2015 - The 2015 adult immunization schedule from the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has a few changes that are particularly relevant to family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0215/p264.html

ACIP Releases 2015 Childhood Immunization Schedules - Practice Guidelines - American ...

Feb 15, 2015 - The 2015 immunization schedule for children and the catch-up schedule from the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) have a few changes that are pertinent for family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0215/p265.html

AAP Issues Updated Guidance on Palivizumab Prophylaxis for RSV Infection - Practice ...

Dec 15, 2014 - The American Academy of Pediatrics (AAP) Committee on Infectious Diseases has updated its guidance on the use of palivizumab (Synagis) prophylaxis in infants and children at increased risk of respiratory syncytial virus (RSV) infection. Because the palivizumab package labeling does not ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1215/p867.html

Screening and Surveillance for Colorectal Cancer: Avoiding the Pitfalls of ...

Jan 15, 2015 - Although much has been written about the need to encourage colonoscopy in underscreened populations, overscreening for colorectal cancer is now recognized as a problem that can lead to harm.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0115/p82.html

Screening for Gestational Diabetes Mellitus: Recommendation Statement - U.S. Preventive...

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation.

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

https://www.aafp.org/afp/2014/1201/od1.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

Screening for Glaucoma: Recommendation Statement - U.S. Preventive Services Task Force ...

Oct 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 screening for primary open-angle glaucoma (POAG) in adults.

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

https://www.aafp.org/afp/2014/1015/od1.html

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer in ...

Jan 15, 2015 - L.M. is a 37-year-old nonsmoking woman who is not taking any medications and has no significant past medical problems. Three of her female relatives have a history of breast cancer: her mother (diagnosed at 49 years of age, before menopause), her paternal grandmother (diagnosed at 72 ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0115/p119.html

Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment With the...

Dec 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 screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk assessment with the ankle-brachial index (ABI) in adults.

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

https://www.aafp.org/afp/2014/1215/od1.html

Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment with the...

Dec 15, 2014 - J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for peripheral ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1215/p859.html

Accuracy of Fecal DNA and Fecal Immunochemical Test for Colorectal Cancer Detection - ...

Sep 1, 2014 - Fecal DNA testing is more sensitive but less specific than fecal immunochemical testing (FIT), and as a result, has a higher false-positive rate. It is also more expensive than other noninvasive alternatives such as FIT. We do not know which test will be better at reducing mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p326a.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

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

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

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

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

Screening for Glaucoma - Putting Prevention into Practice - American Family Physician

Oct 15, 2014 - A 55-year-old black woman presents to your office for a routine well-woman examination. Her medical history is significant for hypertension, which is well controlled with medication. She mentions that her mother was diagnosed with glaucoma a few years ago and is currently undergoing ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1015/p569.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

Screening for Chronic Kidney Disease: Recommendation Statement - U.S. Preventive ...

Feb 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to assess the balance of benefits and harms of routine screening for chronic kidney disease (CKD) in asymptomatic adults.

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

https://www.aafp.org/afp/2014/0215/od1.html

Screening for Hepatitis C Virus Infection in Adults: Recommendation Statement - U.S. ...

Sep 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for hepatitis C virus (HCV) infection in persons at high risk of infection. The USPSTF also recommends offering one-time screening for HCV infection to adults born between 1945 and 1965.

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

https://www.aafp.org/afp/2014/0915/od1.html

Updated AAP Guidelines on Newborn Screening and Therapy for Congenital Hypothyroidism -...

Aug 1, 2007 - Guidelines on newborn screening and therapy for congenital hypothyroidism have been released by the American Academy of Pediatrics (AAP). Congenital hypothyroidism can cause mental retardation unless thyroid therapy is initiated within two weeks of birth.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p439.html

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Yes: ...

Aug 15, 2014 - The recommendations appropriately focus treatment on those most likely to benefit.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p212.html

Electronic Cigarettes: Cautions and Concerns - Editorials - American Family Physician

Sep 1, 2014 - E-cigarettes are gaining popularity as a novel approach to smoking cessation, but data regarding safety and effectiveness are lacking. Until there is further research into the benefits and risks of e-cigarettes, physicians should recommend more familiar alternatives to help their ...

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0901/p282.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

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Not ...

Aug 15, 2014 - The recommendations should have paid more attention to the inherent uncertainties in risk estimates and the importance of individual patient circumstances and preferences.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p223.html

Immunochemical FOBTs Moderately Sensitive and Highly Specific for Colorectal Cancer - ...

Aug 15, 2014 - Immunochemical FOBTs, such as OC-Micro, OC-Sensor, or OC-Light, are moderately sensitive (73% to 89%) and highly specific (92% to 95%) for identifying colorectal cancer. In comparison, Hemoccult Sensa has a lower sensitivity (64% to 80%) and specificity (87% to 90%). Immunochemical ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0815/od4.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

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

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...

Jun 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen adults 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse.

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

https://www.aafp.org/afp/2014/0615/od1.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

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...

Jun 15, 2014 - A 22-year-old man presents for a routine physical examination. While you are taking his history, he states that he goes out drinking every weekend with his friends.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0615/p971.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

HPV Screening Every Five Years Equal to Pap Smear Every Three Years - POEMs - American ...

Jun 1, 2014 - A single HPV test provides the same degree of protection over five years as a Papanicolaou (Pap) smear does for three years. We may soon see a recommendation for HPV testing as a stand-alone screen, with cytology reserved for women who have an HPV-positive result. We may also be able to...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0601/p907a.html

Varenicline Plus Bupropion SR No Better Than Varenicline Alone for Tobacco Cessation - ...

Jun 1, 2014 - Combination therapy with varenicline and sustained-release bupropion was associated with a significantly higher prolonged abstinence rate compared with varenicline monotherapy at 12 weeks and 26 weeks in adult smokers attempting to quit. By 52 weeks, however, the difference was no ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0601/p912.html

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? Yes: ...

Jun 1, 2014 - Being able to anticipate and mitigate the potentially adverse outcomes of hospitalization in these patients should be reason enough to screen for cognitive impairment in the primary care setting.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p861.html

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? No: ...

Jun 1, 2014 - Dementia screening should not be exempt from the requirement that it first be shown to improve outcomes before being implemented in practice.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p864.html

Apolipoproteins for Cardiovascular Risk Assessment - FPIN's Clinical Inquiries - ...

Apr 15, 2014 - Measurement of apolipoprotein B and apolipoprotein A-I is no better than traditional lipid measurements and should not be used to predict cardiovascular risk.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0415/od2.html

Screening for HIV - Putting Prevention into Practice - American Family Physician

Apr 15, 2014 - A 19-year-old woman presents to the university health clinic for a well-woman examination. She reports no problems and mentions that she is sexually active with one male partner, who usually uses condoms. She has never been screened for a sexually transmitted infection.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0415/p665.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

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

May 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis in women 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors.

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

https://www.aafp.org/afp/2011/0515/p1197.html

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

Apr 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen for human immunodeficiency virus (HIV) infection in adolescents and adults 15 to 65 years of age. Younger adolescents and older adults who are at increased risk should also be screened.

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

https://www.aafp.org/afp/2014/0415/od1.html

AAFP Recommends Universal Screening for HIV Infection Beginning at 18 Years of Age - ...

Apr 15, 2014 - The AAFP recommends delaying the start of routine HIV screening until 18 years of age, and screening all patients 18 to 65 years of age. The AAFP notes that screening younger patients may still be beneficial based on high-risk behaviors.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0415/p614.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

Long-Term Results of Drug Treatment for Obesity - POEMs - American Family Physician

Mar 1, 2014 - This review of commonly used weight-loss medications, including orlistat (Xenical), lorcaserin (Belviq), phentermine/topiramate (Qsymia), bupropion (Wellbutrin), metformin (Glucophage), and zonisamide (Zonegran), reported an average weight loss for participants of 2.5 to 8.0 kg (5.5 to ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0301/p389a.html

Health Care Screening for Men Who Have Sex with Men - American Family Physician

May 1, 2004 - Men who have sex with men often do not reveal their sexual practices or sexual orientation to their physician. Lack of disclosure from the patient, discomfort or inadequate training of the physician, perceived or real hostility from medical staff, and insufficient screening guidelines ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2149.html

Screening for Chronic Kidney Disease - Putting Prevention into Practice - American ...

Feb 15, 2014 - A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0215/p293.html

AUA Releases Guideline on Early Detection of Prostate Cancer - Practice Guidelines - ...

Jan 15, 2014 - In April 2013, the American Urological Association (AUA) released a guideline on early detection of prostate cancer, namely to reduce prostate cancer mortality.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0115/p137.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 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

ACOG Releases Guidelines on Cervical Cancer Screening - Practice Guidelines - American ...

Dec 1, 2013 - The incidence of cervical cancer, as well as mortality rates from the disease, has decreased over the past 30 years because of widespread screening with cervical cytology. Screening technologies and risk-benefit considerations for different age groups continue to evolve. The American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1201/p776.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

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

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

Screening for Coronary Heart Disease with Electrocardiography: Recommendation Statement...

Jan 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk of CHD events.

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

https://www.aafp.org/afp/2014/0115/od1.html

The Impact of Personalized Risk Communication on Screening Decisions - Cochrane for ...

Feb 1, 2014 - Patients presented with personalized risk information are more likely to make informed decisions about screening than patients who are presented with generic risk information. Individualizing risk appears to improve the accuracy of patients' risk perception and decrease anxiety.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0201/p175.html

Screening Echocardiography Not Beneficial - POEMs - American Family Physician

Feb 1, 2014 - Population-based screening for heart disease or valve disease with echocardiography will identify cardiac pathology in patients but does not decrease mortality, myocardial infarction risk, or stroke risk.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p224.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

Screening for Coronary Heart Disease with Electrocardiography - Putting Prevention into...

Jan 15, 2014 - A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein cholesterol level...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0115/p79.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

ACS Releases Guideline on Screening for Lung Cancer with Low-Dose Computed Tomography -...

Jan 1, 2014 - In late 2010, results from the National Lung Screening Trial showed that lung cancer mortality was significantly reduced in high-risk adults who received annual screenings using low-dose computed tomography (CT). After these results were announced, the American Cancer Society (ACS) ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0101/p56.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

Pediatric Vision Screening for the Family Physician - American Family Physician

Sep 1, 1998 - Advertisement << Previous article Next article >> Sep 1, 1998 Issue Pediatric Vision Screening for the Family Physician PETER BRODERICK, M.D., Stanislaus County Family Practice Residency, Modesto, California Am Fam Physician. 1998 Sep 1;58(3):691-700. See related patient information...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p691.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

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

Repeat BMD Testing: Little, If Any, Value in Older Men and Women - POEMs - American ...

Dec 15, 2013 - This study found little, if any, additional benefit to repeat BMD screening at four years beyond baseline BMD testing in older men and women. A recent similar study (Gourlay ML, Fine JP, Preisser JS, et al. N Engl J Med. 2012;366(3):225–233) recommended a baseline examination at 65 ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1215/p864.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

ACOG Releases Practice Bulletin on Osteoporosis - Practice Guidelines - American Family...

Aug 15, 2013 - This practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) reviews diagnosis, evaluation, and treatment options for women with osteoporosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0815/p269.html

AACE Releases Guidelines for Menopausal Hormone Therapy - Practice Guidelines - ...

Nov 1, 2012 - Menopause is diagnosed in women who have not had menses for one year. The American Association of Clinical Endocrinologists (AACE) convened a task force to review available evidence on therapies for menopausal symptoms. The task force's guidelines include recommendations for prescribing...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1101/p864.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

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

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

General Health Checks for Reducing Morbidity and Mortality - Cochrane for Clinicians - ...

Oct 1, 2013 - Although general health checks increase the number of new diagnoses, they do not decrease total, cardiovascular-related, or cancer-related morbidity or mortality. The studies in this Cochrane review have limited applicability to the current recommended practice of providing selective, ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1001/p432.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

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

The 2001 Bethesda System Terminology - American Family Physician

Nov 15, 2003 - The 2001 Bethesda System for reporting cervical or vaginal cytologic diagnoses is an incremental change in the uniform terminology introduced in 1988 and revised in 1991. The 2001 Bethesda System includes specific statements about specimen adequacy, general categorization, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1992.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

Counseling for Physical Activity in Overweight and Obese Patients - American Family ...

Mar 15, 2003 - Obesity has reached epidemic proportions in the United States. More than 60 percent of U.S. adults are now overweight or obese (defined as at least 30 lb [13.6 kg] overweight), predisposing more than 97 million Americans to a host of chronic diseases and conditions. Physical activity ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1249.html

Update on the Prevention and Treatment of Sexually Transmitted Diseases - American ...

May 1, 2003 - The Centers for Disease Control and Prevention (CDC) recently published updated guidelines that provide new strategies for the prevention and treatment of sexually transmitted diseases (STDs). Patient education is the first important step in reducing the number of persons who engage in ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0501/p1915.html

CDC Issues Recommendations for Identifying HCV Infection in Persons Born in 1945 ...

Jul 1, 2013 - Identifying HCV infection through testing is important to improve health outcomes in persons born in 1945 through 1965, because of increased risk of liver cirrhosis, hepatocellular carcinoma, and extrahepatic complications. The HCV Birth Cohort Testing Work Group, including experts from...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0701/p62.html

Screening for Hearing Loss in Older Adults: Recommendation Statement - U.S. Preventive ...

Jan 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in asymptomatic adults 50 years or older.

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

https://www.aafp.org/afp/2013/0115/od1.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

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

Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary ...

Sep 15, 2002 - Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care physicians, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0915/p1001.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

Should Family Physicians Screen for Vitamin D Deficiency? Yes: Targeted Screening in ...

Apr 15, 2013 - Although it is not time for general population-based screening for vitamin D deficiency, we should focus on screening populations at risk of or who have osteoporosis.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0415/od1.html

Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults - ...

Apr 15, 2013 - Case Study: A 22-year-old primigravid woman at 20 weeks' gestation presents to your office with her boyfriend for a routine obstetric examination. She has had an uneventful pregnancy. She states that things are okay at home, even though she was laid off from her job just before finding ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2013/0415/p577.html

Screening for Hepatocellular Carcinoma in Patients with Hepatitis C Virus Infection - ...

Mar 15, 2013 - There is no evidence that it is beneficial to screen for hepatocellular carcinoma in symptomatic patients with HCV.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0315/od2.html

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