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Oral Antibiotics Are Equal to IV Antibiotics for Serous Bone and Joint Infections - ...

Oct 1, 2019 - Oral antibiotics started within seven days of surgery for patients with a serious bone or joint infection are as safe and effective as six weeks of IV antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p441.html

Antibiotics for Acute Rhinosinusitis in Adults - Medicine by the Numbers - American ...

Oct 1, 2019 - Because of the relatively high rate of reported adverse effects and the high likelihood of resolution of symptoms with supportive care and symptomatic management, the authors recommend selective antibiotic use in patients with acute sinusitis. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1001/od1.html

Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...

Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p403.html

Perinatal Depression: AAP Policy Statement on Recognition and Management - Practice ...

Oct 1, 2019 - The American Academy of Pediatrics has released a policy statement regarding the integration of perinatal depression recognition and management into well-child visits.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1001/p443.html

Common Misperceptions About Buprenorphine Prescribing for Opioid Use Disorder - ...

Oct 1, 2019 - The antidote to the opioid use disorder epidemic is the thoughtful use of evidence-based medicine and an honest understanding of what we know—and what we don't know—about caring for people with substance use disorders.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1001/p396.html

Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...

Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p405.html

e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in ...

Oct 1, 2019 - Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p442.html

Protecting Patients from Elder Abuse Scams - Close-ups - American Family Physician

Oct 1, 2019 - Protecting patients from elder abuse scams.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1001/p438.html

Uterine Fibroids, Traumatic Brain Injury, Treating Obesity, Breast Cancer Survivors - ...

Oct 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/2019/1001/p400.html

Pneumatic Compression in Addition to Pharmacologic Thromboprophylaxis Does Not Further ...

Oct 1, 2019 - This study found no benefit to the addition of intermittent pneumatic compression to pharmacologic anticoagulation for the prevention of proximal DVT in critically ill patients.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p440a.html

Laboratory-Based Prediction Model Can Rule Out Serious Bacterial Infections in Febrile ...

Oct 1, 2019 - In febrile infants up to 60 days of age, the combination of a normal urinalysis result, an absolute neutrophil count of less than 4,090 per mL (4.1 × 109 per L), and a serum procalcitonin level of less than 1.71 ng per mL is accurate at ruling out serious bacterial infections.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p440.html

Importance of Dyslipidemia Screening in Children and Adolescents - Letters to the ...

Oct 1, 2019 - Advertisement Oct 1, 2019 Issue Letters to the Editor Importance of Dyslipidemia Screening in Children and Adolescents Am Fam Physician. 2019 Oct 1;100(7):391-392. Original Article: Right Care for Children: Top Five Do's and Don'ts Issue Date: March 15, 2019 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1001/p391.html

Painful Scrotal Swelling - Photo Quiz - American Family Physician

Oct 1, 2019 - Advertisement << Previous article Next article >> Oct 1, 2019 Issue Photo Quiz Painful Scrotal Swelling VIBHUTI ANSAR, MD, and KIHAE SHIN, DO, Piedmont Columbus Regional Hospital, Columbus, Georgia Am Fam Physician. 2019 Oct 1;100(7):435-436. A 44-year-old man presented with...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1001/p435.html

Progestin Therapy Not Likely to Be Harmful in Women with First Trimester Bleeding - ...

Oct 1, 2019 - Advertisement << Previous article Next article >> Oct 1, 2019 Issue Progestin Therapy Not Likely to Be Harmful in Women with First Trimester Bleeding Am Fam Physician. 2019 Oct 1;100(7):392-393. Original Article: First Trimester Bleeding: Evaluation and Management Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1001/p392.html

Corrections - Oct 1, 2019 - American Family Physician

Oct 1, 2019 - Advertisement << Previous article Next article >> Oct 1, 2019 Issue Reader Services Corrections Am Fam Physician. 2019 Oct 1;100(7):393. Updated Guideline and Terminology. The article, Testosterone Therapy: Review of Clinical Applications (October 1, 2017, p. 441) included a section...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/1001/p393.html

Otitis Media: Rapid Evidence Review - American Family Physician

Sep 15, 2019 - Acute otitis media (AOM) is the most common diagnosis in childhood acute sick visits. By three years of age, 50% to 85% of children will have at least one episode of AOM. Symptoms may include ear pain (rubbing, tugging, or holding the ear may be a sign of pain), fever, irritability, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p350.html

Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention - American Family ...

Sep 15, 2019 - Pelvic inflammatory disease (PID) is an infection of the upper genital tract occurring predominantly in sexually active young women. Chlamydia trachomatis and Neisseria gonorrhoeae are common causes; however, other cervical, enteric, bacterial vaginosis–associated, and respiratory ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p357.html

Urinary Incontinence in Women: Evaluation and Management - American Family Physician

Sep 15, 2019 - Urinary incontinence is a common problem among women worldwide, resulting in a substantial economic burden and decreased quality of life. The Women’s Preventive Services Initiative is the only major organization that recommends annual screening for urinary incontinence in all women ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p339.html

Ear and Hearing Disorders - American Family Physician

Sep 15, 2019 - This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis externa, otitis media, and tinnitus. This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=98

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...

Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0915/p378.html

Diagnosing Dementia and Clarifying Goals of Care - Lown Right Care: Reducing Overuse ...

Sep 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/2019/0915/p369.html

Enlarging Nodule on the Tongue - Photo Quiz - American Family Physician

Sep 15, 2019 - A man presented with a nodule on his tongue that had been growing slowly for three years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0915/p367.html

Weak Evidence Supports Augmentation Therapy for Treatment-Resistant Depression - POEMs ...

Sep 15, 2019 - There is weak research to guide treatment decisions for patients who have not responded to two adequate courses of antidepressant treatment. One study of cognitive behavior therapy showed benefit over placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p376.html

Normal Vital Signs and Pulmonary Examination Results Rule Out CAP in Adults with Acute ...

Sep 15, 2019 - Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p375.html

Interventions to Prevent Perinatal Depression: Recommendation Statement - U.S. ...

Sep 15, 2019 - The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.

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

https://www.aafp.org/afp/2019/0915/od1.html

Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis - STEPS - American Family ...

Sep 15, 2019 - Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0915/p372.html

Interventions to Prevent Perinatal Depression - Putting Prevention into Practice - ...

Sep 15, 2019 - A 25-year-old woman presents to your office after having recently missed her period. A urine pregnancy test confirms that she is pregnant. She takes acyclovir for suppression of genital herpes, which she acquired as a teenager. She reports a history of depression and sexual abuse during...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0915/p365.html

Can We Prevent Perinatal Depression in the Primary Care Office? - Editorials - American...

Sep 15, 2019 - Even if we do not provide maternity care, our commitment to the total care of our patients, which includes addressing behavioral medicine needs, allows us to be the ideal physicians to champion interventions to prevent perinatal depression.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0915/p327.html

Vitamin D Is Not Effective as Primary Prevention of Cardiovascular Disease or Cancer - ...

Sep 15, 2019 - Vitamin D supplementation does not prevent cardiovascular events or cancer in mostly nondiabetic adults (men 50 years and older, women 55 years and older).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p374.html

Omega-3 Fatty Acids Do Not Prevent Cancer or Cardiovascular Disease Events - POEMs - ...

Sep 15, 2019 - This is the second large, well-designed study (the first one included patients with diabetes mellitus; this one included patients without diabetes) that found no benefit from a 1-g daily dosage of marine n-3 fatty acid supplementation for the primary prevention of cardiovascular disease...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p374a.html

Cervical Cancer, Febrile Seizures, HIV Infection, Dyspepsia - AFP Clinical Answers - ...

Sep 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/2019/0915/p331.html

The Family Physician's Role in the Prevention of Measles - Editorials - American Family...

Sep 15, 2019 - Advertisement << Previous article Next article >> Sep 15, 2019 Issue Editorials The Family Physician's Role in the Prevention of Measles PAMELA G. ROCKWELL, DO, University of Michigan Medical School, Ann Arbor, Michigan Am Fam Physician. 2019 Sep 15;100(6):329-330. Published online...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0915/p329.html

Treatment of the Common Cold - American Family Physician

Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p281.html

Venous Ulcers: Diagnosis and Treatment - American Family Physician

Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p298.html

Top POEMs of 2018 Consistent with the Principles of the Choosing Wisely Campaign - ...

Sep 1, 2019 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2018 judged to be most consistent with the principles of the Choosing Wisely campaign. We selected these POEMs through a crowdsourcing strategy of the daily POEMs information service for Canadian Medical ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p290.html

Child with Swollen Eyes - Photo Quiz - American Family Physician

Sep 1, 2019 - A six-year-old child presented with eye swelling, cold-like symptoms, and fever.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0901/p313.html

Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...

Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p279.html

Use of Amphetamines for Attention Deficit/Hyperactivity Disorder in Adults - Cochrane ...

Sep 1, 2019 - Amphetamines provide a clinician-rated 30% or greater reduction in ADHD symptoms when compared with placebo (number needed to treat = 5).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p278.html

Gabapentin for Treatment of Radicular Low Back Pain - FPIN's Clinical Inquiries - ...

Sep 1, 2019 - Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0901/p309.html

Prolaris Test for Prostate Cancer Risk Assessment - Diagnostic Tests: What Physicians ...

Sep 1, 2019 - The Prolaris test improves the accuracy of prognosis for patients with prostate cancer, especially those with low- or intermediate-grade disease who may be deciding between interventional and noninterventional treatment approaches.

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

https://www.aafp.org/afp/2019/0901/p311.html

Tonsillectomy in Children: AAO-HNS Updates Guideline - Practice Guidelines - American ...

Sep 1, 2019 - The American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) has updated its 2011 guideline on tonsillectomy indications and perioperative care in children one to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0901/p316.html

Discussing Life Expectancy with Older Patients: Prediction and Patient Preferences - ...

Sep 1, 2019 - Evidence shows that physicians need more training in discussing life expectancy, and there are resources available to support this process for certain conditions.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0901/p265.html

Gastroenteritis, Borderline Personality Disorder, Nonalcoholic Steatohepatitis, COPD - ...

Sep 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/2019/0901/p273.html

Communicating Risk to Patients Who Get Their Information from the Internet - Curbside ...

Sep 1, 2019 - What can physicians do when our patients act on findings from the internet?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0901/p306.html

Treating the Common Cold in Adults - American Family Physician

Sep 1, 2019 - Advertisement << Previous article Next article >> Sep 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/2019/0901/p281-s1.html

Treating the Common Cold in Children - American Family Physician

Sep 1, 2019 - Advertisement << Previous article Next article >> Sep 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/2019/0901/p281-s2.html

Health Maintenance in School-Aged Children: Part I. History, Physical Examination, ...

Aug 15, 2019 - The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p213.html

Health Maintenance in School-Aged Children: Part II. Counseling Recommendations - ...

Aug 15, 2019 - School-aged children (five to 12 years) are establishing patterns of behavior that may last a lifetime; therefore, during health maintenance visits, it is important to counsel families on healthy lifestyle practices. Children should eat a diet high in fruits, vegetables, whole grains, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p219.html

Electronic Cigarettes: Common Questions and Answers - American Family Physician

Aug 15, 2019 - Electronic cigarettes (e-cigarettes) are popular devices designed to heat a liquid solution, often containing nicotine, that generates an inhaled aerosol, or vapor. e-Cigarettes have been marketed as healthier alternatives to traditional cigarettes. Thus, most adult users are current or...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p227.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

Maintenance Intravenous Fluids in Children: AAP Provides Recommendations - Practice ...

Aug 15, 2019 - The American Academy of Pediatrics has created an evidence-based guideline recommending the use of isotonic fluids for patients 28 days to 18 years of age to reduce the risk of developing hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0815/p251.html

5% Fluorouracil Is the Preferred Treatment for Actinic Keratoses - POEMs - American ...

Aug 15, 2019 - The use of topical 5% fluorouracil is most likely to result in successful elimination of actinic keratoses in a field on the head or face.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0815/p249a.html

Omega-3 Fatty Acids and Cardiovascular Disease Prevention - Medicine by the Numbers - ...

Aug 15, 2019 - High-quality evidence suggests that long-chain omega-3 polyunsaturated fatty acids do not prevent mortality (all-cause or cardiovascular) or cardiovascular disease events when used as primary or secondary prevention. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0815/p209.html

Cognitive Behavior Therapy for Postpartum Depression - FPIN's Help Desk Answers - ...

Aug 15, 2019 - In women with postpartum depression, the addition of CBT reduces depressive symptoms more effectively than usual care alone (medication and other therapies), with a medium effect size at the end of the intervention and a residual small effect size six months later.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0815/p244.html

Secnidazole (Solosec) for Bacterial Vaginosis - STEPS - American Family Physician

Aug 15, 2019 - Secnidazole is much more expensive than generic metronidazole and other available treatments. However, it is a safe option for women who desire a single-dose treatment or for patients in whom treatment compliance is a concern.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0815/p242.html

Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...

Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0815/p246.html

Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Recommendation Statement - ...

Aug 15, 2019 - The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum.

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

https://www.aafp.org/afp/2019/0815/p236.html

Treating Hepatitis C in the Family Medicine Office - Close-ups - American Family Physician

Aug 15, 2019 - Patient story about being diagnosed with hepatitis C and successful treatment by family doctor.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/0815/p248.html

Proportional Erosion of the Primary Care Physician Workforce Has Continued Since 2010 -...

Aug 15, 2019 - We estimate that 217,208 primary care physicians provided direct patient care in the United States in 2018. This represents an even lower percentage (30%) of the total U.S. physician cohort than the 2010 Council on Graduate Medical Education's (COGME's) recommendation to increase ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0815/p211.html

Short-Term Clopidogrel Plus Aspirin Prevents Second Ischemic Stroke Better Than Aspirin...

Aug 15, 2019 - Combined treatment with clopidogrel and aspirin, started within 24 hours of the first event, will decrease the likelihood of a recurrent stroke in an additional 2% of patients compared with aspirin alone, with a slight increase in the risk of extra-cranial bleeding.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0815/p249.html

Asthma, Back and Neck Pain, Pain During Labor, TIA, CBT for Anxiety - AFP Clinical ...

Aug 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/2019/0815/p208.html

Thessaly vs. McMurray Test for Diagnosis of Meniscal Injuries - Letters to the Editor -...

Aug 15, 2019 - Advertisement << Previous article Next article >> Aug 15, 2019 Issue Letters to the Editor Thessaly vs. McMurray Test for Diagnosis of Meniscal Injuries Am Fam Physician. 2019 Aug 15;100(4):200-201. Original Article: Knee Pain in Adults and Adolescents: The Initial Evaluation Issue...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0815/p200.html

Bilateral Lower Extremity Discoloration - Photo Quiz - American Family Physician

Aug 15, 2019 - Advertisement << Previous article Next article >> Aug 15, 2019 Issue Photo Quiz Bilateral Lower Extremity Discoloration APARNA JAIN, MBBS, Mayo Clinic Health System, Albert Lea, Minnesota AUTUMN KRCIL, OMS IV, Des Moines University, Des Moines, Iowa Am Fam Physician. 2019 Aug...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0815/p239.html

OnabotulinumtoxinA Injections for Chronic Migraine Prophylaxis - Letters to the Editor ...

Aug 15, 2019 - Advertisement Aug 15, 2019 Issue Letters to the Editor OnabotulinumtoxinA Injections for Chronic Migraine Prophylaxis Am Fam Physician. 2019 Aug 15;100(4):198. Original Article: Migraine Headache Prophylaxis Issue Date: January 1, 2019 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0815/p198.html

Substance Use Disorders: Considerations in Maternity and Neonatal Care - Letters to the...

Aug 15, 2019 - Advertisement Aug 15, 2019 Issue Letters to the Editor Substance Use Disorders: Considerations in Maternity and Neonatal Care Am Fam Physician. 2019 Aug 15;100(4):199-200. Original Article: Primary Care for Persons Who Inject Drugs Issue Date: January 15, 2019 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0815/p199.html

e-Cigarettes, Vaping and Juuls: What You Need to Know - American Family Physician

Aug 15, 2019 - Advertisement << Previous article Next article >> Aug 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/2019/0815/p227-s1.html

Ingrown Toenail Management - American Family Physician

Aug 1, 2019 - Ingrown toenails account for approximately 20% of foot problems in primary care. The great toe is most often affected. Ingrown toenails occur most commonly in young men, and nail care habits and footwear are most often contributory factors. No consensus has been reached for the best ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p158.html

Hirsutism in Women - American Family Physician

Aug 1, 2019 - Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p168.html

Management of Chronic Tendon Injuries - American Family Physician

Aug 1, 2019 - Chronic tendon injuries are common athletic and occupational injuries that account for many physician visits. Tendons have a complex biology that provides a unique combination of strength, flexibility, and elasticity but also predisposes them to injury. The term tendinopathy is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p147.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - Discussing with patients the pros and cons of medications for borderline glucose values could distract us from more important topics such as lifestyle changes, smoking cessation, and blood pressure control. Time is the most valuable resource in a physician-patient partnership, and there...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p136.html

Infantile Hemangioma: AAP Releases Guideline for Management - Practice Guidelines - ...

Aug 1, 2019 - Infantile hemangiomas are the most common benign tumors of childhood, occurring in up to approximately 5% of infants. These benign vascular tumors are small, self-resolving, and do not require treatment.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0801/p186.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p134.html

Chronic Neck Pain: Nonpharmacologic Treatment - Implementing AHRQ Effective Health Care...

Aug 1, 2019 - Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0801/p180.html

Skin-to-Skin Contact for Improved Duration of Breastfeeding - FPIN's Help Desk Answers ...

Aug 1, 2019 - Skin-to-skin-contact in the immediate postnatal period should be recommended to all mothers because it is associated with a higher likelihood of exclusive breastfeeding at hospital discharge and for up to six months afterward (number needed to treat [NNT] = 5 to 8).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0801/od2.html

Vaccines for Preventing Influenza in Healthy Children, Healthy Adults, and Older Adults...

Aug 1, 2019 - Influenza vaccination reduces rates of laboratory-confirmed influenza and symptomatic influenza-like illness in healthy children, healthy adults, and older adults. There is no consistent evidence that influenza vaccination reduces school absenteeism in children, parental absenteeism ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0801/p143.html

More Evidence Against Antibiotics for Acute Asthma Exacerbations - POEMs - American ...

Aug 1, 2019 - Antibiotics do not benefit patients hospitalized with an asthma exacerbation. Evidence from this study suggests worse outcomes with antibiotic use, including a longer hospital stay, higher costs, and greater risk of diarrhea.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p185.html

Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure ...

Aug 1, 2019 - The only cardiovascular benefit to treatment with dapagliflozin was a reduction in the likelihood of hospitalization; 125 patients would need to be treated for 10 years to prevent one hospitalization.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p184.html

Flexible Sigmoidoscopy or Fecal Occult Blood Testing for Colorectal Cancer Screening in...

Aug 1, 2019 - This meta-analysis provides high-quality evidence that flexible sigmoidoscopy and fecal occult blood testing both reduce the risk of death from colorectal cancer. The study did not provide a clear answer regarding a superior screening modality, so the decision to choose one test over ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0801/od1.html

Asthma, PAD and Cardiovascular Disease, Persons Who Inject Drugs, Crohn’s Disease, ...

Aug 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/2019/0801/p140.html

Hematologic Abnormality in a Young Soldier - Photo Quiz - American Family Physician

Aug 1, 2019 - Advertisement << Previous article Next article >> Aug 1, 2019 Issue Photo Quiz Hematologic Abnormality in a Young Soldier ADAM B. HOWES, MD, 379th Expeditionary Medical Group, Al Udeid Air Base, Qatar Am Fam Physician. 2019 Aug 1;100(3):176-178. A healthy 21-year-old male soldier...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0801/p176.html

Ingrown Toenails - American Family Physician

Aug 1, 2019 - Advertisement << Previous article Next article >> Aug 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/2019/0801/p158-s1.html

Pharyngitis (Sore Throat) - American Family Physician

Jul 29, 2019 - Advertisement AFP BY TOPIC Pharyngitis (Sore Throat) Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on pharyngitis, sore throat, and strep throat. New research may affect the interpretation and...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=110

Erythema Multiforme: Recognition and Management - American Family Physician

Jul 15, 2019 - Erythema multiforme is an immune-mediated reaction that involves the skin and sometimes the mucosa. Classically described as target-like, the erythema multiforme lesions can be isolated, recurrent, or persistent. Most commonly, the lesions of erythema multiforme present symmetrically on...

American Family Physician : Article

https://www.aafp.org/afp/2019/0715/p82.html

Hearing Loss in Adults: Differential Diagnosis and Treatment - American Family Physician

Jul 15, 2019 - More than 30 million U.S. adults have hearing loss. This condition is underrecognized, and hearing aids and other hearing enhancement technologies are underused. Hearing loss is categorized as conductive, sensorineural, or mixed. Age-related sensorineural hearing loss (i.e., ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0715/p98.html

Acupuncture for Pain - American Family Physician

Jul 15, 2019 - Acupuncture has been increasingly used as an integrative or complementary therapy for pain. It is well-tolerated with little risk of serious adverse effects. Traditional acupuncture and nontraditional techniques, such as electroacupuncture and dry needling, often result in reported pain...

American Family Physician : Article

https://www.aafp.org/afp/2019/0715/p89.html

Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...

Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p119.html

Interpregnancy Care: Guidelines from ACOG and SMFM - Practice Guidelines - American ...

Jul 15, 2019 - The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have published guidelines focusing on interpregnancy care to improve outcomes of future pregnancies and the overall health of women, regardless of their future pregnancy plans.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0715/p121.html

Interventions to Prevent Child Maltreatment: Recommendation Statement - U.S. Preventive...

Jul 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment.

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

https://www.aafp.org/afp/2019/0715/p110.html

Integrating Medical Acupuncture into Family Medicine Practice - Editorials - American ...

Jul 15, 2019 - Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0715/p76.html

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0715/p116.html

Fasting vs. Nonfasting Lipid Profile for Assessing Cardiovascular Risk - Letters to the...

Jul 15, 2019 - Advertisement Jul 15, 2019 Issue Letters to the Editor Fasting vs. Nonfasting Lipid Profile for Assessing Cardiovascular Risk Am Fam Physician. 2019 Jul 15;100(2):72-73. Original Article: The Adult Well-Male Examination Issue Date: December 15, 2018 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p72.html

In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific ...

Jul 15, 2019 - The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118a.html

Ankle Sprains, Counseling Strategies, Dysphonia, Acute Coronary Syndrome, Egg Allergy -...

Jul 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/2019/0715/p81.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

Vitamin D is Equal to Placebo for Preventing Cognitive Decline in African-American ...

Jul 15, 2019 - Is vitamin D more effective than placebo in preventing cognitive decline in African American women older than 65 years who have low serum vitamin D levels at baseline?

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118.html

Gradually Progressive Dysphagia, Reflux, Weight Loss, and Chest Discomfort - Photo Quiz...

Jul 15, 2019 - Advertisement << Previous article Next article >> Jul 15, 2019 Issue Photo Quiz Gradually Progressive Dysphagia, Reflux, Weight Loss, and Chest Discomfort JUDITH VOLCY, DO; TAIWO AJOSE, MD; and CHINEDU IVONYE, MD, Morehouse School of Medicine, Atlanta, Georgia Am Fam Physician. 2019...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0715/p113.html

Medical Screening and Care of Incarcerated Transgender Patients - Letters to the Editor...

Jul 15, 2019 - Advertisement Jul 15, 2019 Issue Letters to the Editor Medical Screening and Care of Incarcerated Transgender Patients Am Fam Physician. 2019 Jul 15;100(2):70-72. Original Article: Care of Incarcerated Patients Issue Date: November 15, 2018 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p70.html

Correction - Corrections - American Family Physician

Jul 15, 2019 - Advertisement << Previous article Next article >> Jul 15, 2019 Issue Reader Services Corrections Am Fam Physician. 2019 Jul 15;100(2):74. Incorrect FDA approval. The article, Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment (March 15, 2019, p. 362), contained an...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0715/p74.html

When to Discuss Prostate Cancer Screening with Your Patients - Letters to the Editor - ...

Jul 15, 2019 - Advertisement << Previous article Next article >> Jul 15, 2019 Issue Letters to the Editor When to Discuss Prostate Cancer Screening with Your Patients Am Fam Physician. 2019 Jul 15;100(2):69-70. Original Article: Counseling Patients About Prostate Cancer Screening [Editorial] Issue...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p69.html

Personal Experience Is Not Always Consistent with Published Evidence - Letters to the ...

Jul 15, 2019 - Advertisement Jul 15, 2019 Issue Letters to the Editor Personal Experience Is Not Always Consistent with Published Evidence Am Fam Physician. 2019 Jul 15;100(2):73-74. Original Article: Why Are We So Slow to Adopt Some Evidence-Based Practices? Issue Date: December 15, 2018 See...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p73.html

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