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COVID-19 - American Family Physician

Oct 15, 2021 - Advertisement AFP BY TOPIC COVID-19 Editors' Choice of Best Available Content COVID-19 is an infectious disease caused by an enveloped single-stranded RNA novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that was declared a pandemic by the World...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=117

End-Stage Renal Disease: Medical Management - American Family Physician Restricted content. Login required.

Sep 1, 2021 - End-stage renal disease (ESRD) is diagnosed when kidney function is no longer adequate for long-term survival without kidney transplantation or dialysis. Primary care clinicians should refer people at risk of ESRD to nephrology to optimize disease management. Kidney transplantation ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p493.html

Breast Implants: Common Questions and Answers - American Family Physician Restricted content. Login required.

Sep 1, 2021 - Breast implants are used for a wide range of cosmetic and reconstructive purposes. In addition to breast augmentation, implants can be used for postmastectomy breast reconstruction, correction of congenital breast anomalies, breast or chest wall deformities, and male-to-female top ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p500.html

Asthma Management Guidelines: Focused Updates for 2020 - Editorials - American Family ...

Sep 1, 2021 - The 2020 Focused Updates to the asthma management guidelines represent the first revision of the National Asthma Education and Prevention Program guidelines in more than 10 years. The report differs from the Global Initiative for Asthma recommendations because of the focused number of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1100/p446.html

Asthma Management: Updated Guidelines from the National Heart, Lung, and Blood ... Restricted content. Login required.

Sep 1, 2021 - The National Heart, Lung, and Blood Institute (NHLBI) published asthma management guidelines in 1991 and 2007. In 2020, the NHLBI released an update focusing on six priority topics.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1100/p531.html

Acute Treatments for Episodic Migraine in Adults - Implementing AHRQ Effective Health ... Restricted content. Login required.

Sep 1, 2021 - How effective are pharmacologic and nonpharmacologic acute treatments for episodic migraine in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/1100/p509.html

Coenzyme Q10 for Heart Failure - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Sep 1, 2021 - In patients with chronic heart failure, supplementation with coenzyme Q10 may reduce all-cause mortality. Adverse effects are generally mild and may be only slightly increased with coenzyme Q10 supplementation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p458.html

Basal Cell Carcinoma: Comparison of Surgical and Nonsurgical Interventions - Cochrane ... Restricted content. Login required.

Sep 1, 2021 - The recurrence rate after surgical management of BCC by standard surgical excision or Mohs micrographic surgery is very low. Recurrence after management with imiquimod (Aldara) is also low and may result in more favorable cosmetic outcomes. Other nonsurgical options may have acceptably ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p459.html

Should Allele Testing Be Done Before Prescribing Allopurinol to Prevent Severe ... Restricted content. Login required.

Sep 1, 2021 - Moderate evidence supports allele testing for HLA-B*58:01 before initiating allopurinol to decrease the incidence of SCARs in higher risk populations. Patient populations who are not at increased risk should not be screened.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1100/p513.html

Tirbanibulin (Klisyri) for the Treatment of Actinic Keratosis - STEPS - American Family... Restricted content. Login required.

Sep 1, 2021 - The cost and effectiveness profile of tirbanibulin make it a last-line option compared with current first-line therapies such as fluorouracil and imiquimod, which are less expensive and have a higher clearance rate of AK lesions. Further trials comparing the effectiveness of ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/1100/p519.html

Nonsteroidal Anti-Inflammatory Drug Injections for Trigger Finger - Medicine by the ... Restricted content. Login required.

Sep 1, 2021 - Learn more about nonsteroidal anti-inflammatory drug injections for trigger finger.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1100/od2.html

Alcohol Withdrawal Syndrome: Outpatient Management - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. The syndrome is due to overactivity of the central and autonomic nervous systems, leading to tremors, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p253.html

Neonatal Resuscitation: Updated Guidelines from the American Heart Association - ... Restricted content. Login required.

Aug 1, 2021 - The American Heart Association released minor updates to neonatal resuscitation recommendations with only minor changes to the previous algorithm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p425.html

Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ... Restricted content. Login required.

Aug 1, 2021 - A network meta-analysis found that vonoprazan-based triple therapy and reverse hybrid therapy demonstrated the highest overall cure rates and SUCRA values; however, among Western countries, levofloxacin-based triple therapy had the highest cure rate and SUCRA value. Standard triple ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0900/od1.html

Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea - ... Restricted content. Login required.

Aug 1, 2021 - Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p356.html

Neonatal Abstinence Syndrome: A Call for Mother-Infant Dyad Treatment Approach - ...

Aug 1, 2021 - Neonatal abstinence syndrome (NAS) is a constellation of symptoms observed in newborns exposed to opioids during pregnancy. The incidence of NAS has steadily increased during the past decade as more infants have been born to mothers with opioid use disorder (OUD). Pregnancy and the ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p222.html

Schizophrenia: Use of Antipsychotic Drugs for Maintenance Therapy - Cochrane for ... Restricted content. Login required.

Aug 1, 2021 - Compared with placebo, using antipsychotic drugs for maintenance therapy in patients with schizophrenia is associated with relapse prevention at seven to 12 months.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p355.html

High-Dose Amoxicillin/Clavulanate No Better than Standard Dose for Acute Sinusitis in ... Restricted content. Login required.

Aug 1, 2021 - This study found no significant difference between the standard-dose and high-dose regimens of amoxicillin/clavulanate for treating acute sinusitis in adults. It is important to note that both doses are minimally superior to placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p423.html

Melatonin to Treat Insomnia in Older Adults - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Aug 1, 2021 - Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0900/p297.html

Does Light Therapy Decrease Depression in Older Adults? - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Aug 1, 2021 - Light therapy appears to be mildly effective in treating depression in older adults, but ideal wavelength, intensity, and length of treatment are unknown.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1000/p417.html

For Patients with Type 2 Diabetes Mellitus Who Are Taking a GLP-1 Receptor Agonist, an ... Restricted content. Login required.

Aug 1, 2021 - This propensity score–matched analysis (not funded by industry) concluded that an SGLT2 inhibitor is preferred over a sulfonylurea for patients with type 2 diabetes who are already taking a GLP-1 receptor agonist, with favorable effects on the likelihood of hospitalization for ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p424.html

Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in ... Restricted content. Login required.

Aug 1, 2021 - Structured PFMT beginning early in pregnancy prevents the onset of urge incontinence later in pregnancy and in the postpartum period compared with no intervention. There is no evidence that PFMT improves urinary incontinence later in pregnancy or in the postpartum period in pregnant ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p234.html

Remdesivir (Veklury) for the Treatment of COVID-19 in Hospitalized Patients - STEPS - ... Restricted content. Login required.

Aug 1, 2021 - Although remdesivir has been shown to be safe and well tolerated, there is a lack of consistency in clinical trial results and guideline recommendations.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0900/p311.html

Ultrasound Guidance for the Placement of Peripheral Intravenous Catheters - Medicine by... Restricted content. Login required.

Aug 1, 2021 - Learn more about ultrasound guidance for the placement of peripheral intravenous catheters.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1000/od2.html

Take-and-Hold Prescriptions for Children with Respiratory Tract Infections Decrease ... Restricted content. Login required.

Aug 1, 2021 - A strategy of providing education about the natural history of respiratory symptoms in children combined with giving a take-and-hold prescription (to be filled only if symptoms persisted) resulted in one in four of those children eventually receiving an antibiotic.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od5.html

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