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Rapid Point-of-Care Antigen and Molecular Tests for Diagnosis of SARS-CoV-2 Infection -... Restricted content. Login required.

Jul 1, 2021 - SARS-CoV-2 antigen tests have an average sensitivity of 68.9% and an average specificity of 99.6%. Accuracy depends on symptom status, time from symptom onset, and test brand.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0700/p29.html

Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain ... Restricted content. Login required.

Aug 1, 2021 - Epidural corticosteroid injections provide a small and probably clinically insignificant reduction in leg and back pain in the immediate term (less than two weeks), and a small to moderate reduction in disability in the short and intermediate terms.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od2.html

Practical Ways to Manage Your EHR Inbox -- FPM Restricted content. Login required.

Aug 1, 2021 - These 10 tips can help reduce your workload during and after clinic, so you can focus on what matters most.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p27.html

Treatment of Chronic Obstructive Pulmonary Disease: Guidelines from the American ... Restricted content. Login required.

Jul 1, 2021 - The American Thoracic Society published guidelines for pharmacologic management of COPD and long-term oxygen therapy for COPD and interstitial lung disease based on systematic reviews.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p102.html

How to Integrate Clinical Pharmacists Into Primary Care -- FPM Restricted content. Login required.

Jun 1, 2021 - Clinical pharmacists can take team-based care to the next level.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0500/p12.html

Tips for Balancing Parenthood and Medicine -- FPM Restricted content. Login required.

Oct 1, 2021 - With limits and support, it can be done.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2021/0900/p40.html

How to Spot and Tactfully Handle Discrimination in the Health Care Setting -- FPM Restricted content. Login required.

Oct 1, 2021 - In the moment, it can be difficult to respond effectively, but practicing these four skills and tactics can help.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0900/p21.html

Treatment of Chronic Obstructive Pulmonary Disease Exacerbations: Guidelines from the ... Restricted content. Login required.

Jul 1, 2021 - Run by May 2022; run with ATS and VA/DoD PGs; conflicts:

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p100.html

Fallacies and Dangers of Practicing Race-Based Medicine - Editorials - American Family ...

Jul 1, 2021 - Race does not have a biologic definition, but rather a political and social one that is fluid and independent of science. Nevertheless, the medical community uses race as a scientific variable in several prominent clinical situations, including calculation of atherosclerotic ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0800/p122.html

Venous Thromboembolism: Management Guidelines from the American Society of Hematology -... Restricted content. Login required.

Aug 1, 2021 - The American Society of Hematology has updated recommendations for management of VTE, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p429.html

Integrating Behavioral Health Into Primary Care -- FPM

Jun 1, 2021 - Integrating behavioral health improves patient outcomes and makes medical practice more satisfying. Here’s one way to do it.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0500/p3.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

Pharmacologic Management of Agitation in Patients with Dementia - FPIN's Clinical ... Restricted content. Login required.

Jul 1, 2021 - Selective serotonin reuptake inhibitors and risperidone are moderately effective at decreasing agitation in all types of dementia. Olanzapine and risperidone reduce dementia-related agitation much longer than placebo. Dextromethorphan/quinidine may be effective at reducing agitation in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0700/p91.html

Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List - Practice Guidelines ... Restricted content. Login required.

May 15, 2021 - The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0515/p633.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

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

Jul 1, 2021 - S.J., a 68-year-old Black man, comes to your office to establish care after recently moving to the area. S.J. has a history of allergic rhinitis, osteoarthritis, and gastroesophageal reflux disease. Additionally, he has a 39-pack-year history of smoking but quit six years ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0700/p79.html

Once-Weekly Semaglutide Is an Effective Adjunct for Weight Loss in Adults without ... Restricted content. Login required.

Jul 1, 2021 - Once-weekly subcutaneous semaglutide used as an adjunct to intensive behavioral therapy significantly improves the likelihood that adults without diabetes who are overweight or obese will lose at least 5% of their baseline body weight compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p96.html

Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with... Restricted content. Login required.

Aug 1, 2021 - A 36-year-old patient, L.B., with a history of hypertension presents for a wellness visit. The patient's mother had a stroke at 65 years of age and the patient's older brother recently had a heart attack. L.B. has an estimated 10-year cardiovascular risk of 6%, and L.B.'s body mass ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1000/p411.html

Red, Raised Papule on the Chest - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2021 - A patient presented with a red, slightly raised papule on the anterior chest wall.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0800/p199.html

The Quest for Administrative Simplification: What's Being Done -- FPM Restricted content. Login required.

Aug 1, 2021 - Progress has been made on several fronts, including prior authorization reform and reducing documentation burdens. But there’s more work to do.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p8.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

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

Eosinophilic Esophagitis: Management Guidelines from the AGA and JTF - Practice ... Restricted content. Login required.

May 1, 2021 - The American Gastroenterological Association (AGA) and the Joint Task Force on Allergy-Immunology Practice Parameters (JTF) published guidelines for treatment of eosinophilic esophagitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0501/p573.html

Resetting Your Priorities in Family Medicine Post-Pandemic -- FPM Restricted content. Login required.

Aug 1, 2021 - What if we stopped saying yes to new demands and reallocated our time based on our priorities? This three-part exercise can help.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2021/0700/p38.html

Recalcitrant Annular Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a pruritic, nonscaly, ring-like rash on the dorsa of both hands.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p415.html

Growing Mass in an Adolescent - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a polypoid, flesh-colored mass on the top of the head that was raised and asymmetrical with slightly irregular borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p413.html

Skin Inflammation After Immunization - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2021 - A patient develops erythema and warmth on the arm two weeks after receiving the first dose of the mRNA-1273 vaccine against the SARS-CoV-2 virus.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0700/p81.html

Levonorgestrel-Releasing Intrauterine System for Reducing Heavy Menstrual Bleeding - ... Restricted content. Login required.

Jul 1, 2021 - The levonorgestrel-releasing intrauterine system is more effective than other medical therapies at reducing menstrual bleeding volume, with similar rates of adverse effects. The effectiveness of the levonorgestrel-releasing intrauterine system compared with endometrial ablation and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0800/p138.html

Flash Continuous Glucose Monitoring (FreeStyle Libre 14-Day System) for Self-Management... Restricted content. Login required.

Jun 1, 2021 - The use of FreeStyle Libre increases time in euglycemic range and decreases hyperglycemic and hypoglycemic time and events in adults with type 1 diabetes.

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

https://www.aafp.org/afp/2021/0601/p688.html

Depression, Cervical Myelopathy, Diagnostic Imaging, Eating Disorders, Vitamin K ... Restricted content. Login required.

Aug 1, 2021 - 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/2021/1000/p354.html

Prenatal Vitamins, Patellofemoral Pain Syndrome, Alcohol Misuse, Hernia, Anaphylaxis, ... Restricted content. Login required.

Jul 1, 2021 - 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/2021/0800/p137.html

Physicians Should Refuse Pharmaceutical Industry Gifts - Editorials - American Family ...

Aug 1, 2021 - Knowing that the high price of drugs is a major detriment to public health in the United States and that the pharmaceutical industry spends vast sums marketing to health care professionals, physicians should refuse visits, gifts, payments, and drug samples from pharmaceutical ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1000/p348.html

Lactic Acid, Citric Acid, and Potassium Bitartrate (Phexxi) Vaginal Gel for ... Restricted content. Login required.

May 15, 2021 - Given its high cost, mediocre contraceptive protection, and rate of adverse effects, Phexxi may be preferred only by people desiring to avoid hormonal contraception who wish to use on-demand contraception that they control, or for whom other contraceptive options are not suited or desired.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0515/p628.html

SGLT2 Inhibitors Improve All-Cause and Cardiovascular Mortality in Patients Regardless ... Restricted content. Login required.

May 15, 2021 - What effect do sodium-glucose cotransporter-2 (SGLT2) inhibitors have on mortality and cardiovascular and renal outcomes in patients with and without diabetes mellitus, heart failure, or kidney disease?

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p630a.html

Addressing Loneliness and Social Isolation in Older Adults - Curbside Consultation - ... Restricted content. Login required.

Jul 1, 2021 - Social isolation and loneliness are increasingly recognized as complex clinical and public health problems, particularly in older adults, leading to adverse mental and physical health outcomes. The COVID-19 pandemic has led to physical distancing policies, which have exacerbated ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0700/p85.html

Acute Sharp Flank Pain - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2021 - A patient presented with stiffness and pain in his lower back and both thighs and an abnormal CT scan.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0800/p201.html

Coding & Documentation - Jul-Aug 2021 -- FPM Restricted content. Login required.

Aug 1, 2021 - Staff documentation of the patient history | Modifiers for multiple procedures | Counting data for medical decision making | AWV work by medical assistants | What counts when ordering and reviewing tests

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0700/p32.html

A Compassionate Communication Refresher for Clinicians Experiencing COVID Fatigue -- FPM Restricted content. Login required.

Aug 1, 2021 - If the stress of the pandemic has challenged your patient communication skills, here’s how you can reestablish rapport.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/oa1.html

Acromioclavicular Joint Dislocation: Surgical vs. Conservative Interventions - Cochrane... Restricted content. Login required.

Jul 1, 2021 - Surgical treatment for AC joint dislocation of the shoulder does not appear to be superior to conservative management in adults. Surgical therapy increases the risk of hardware complications, infection, and continued discomfort.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0700/p28.html

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: ...

Jun 15, 2021 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.

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

https://www.aafp.org/afp/2021/0615/od1.html

Prioritizing Primary Care Can Save the U.S. Health Care System - Editorials - American ...

Jul 1, 2021 - Can prioritizing primary care save the U.S. health care system?

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0700/p14.html

Nonopioid Pharmacologic Treatments for Chronic Pain - Implementing AHRQ Effective ... Restricted content. Login required.

May 1, 2021 - What are the effects of nonopioid drugs on pain, function, and quality of life in patients with specific types of chronic pain, and what are the adverse events related to these drugs?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0501/p561.html

Physician Employment Eclipses Practice Ownership: The Ongoing Trend and Its Effect on ...

Aug 1, 2021 - In 2016, for the first time, less than one-half of practicing physicians had an ownership stake in their own practices. The most recent American Medical Association Physician Practice Benchmark Survey reveals that this trend continues. More physicians are identifying as employees ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/1000/p351.html

Now More Than Ever, Mental Health Care Needs Family Medicine -- FPM

Jun 1, 2021 - With the stress of the pandemic exacerbating patients’ health issues, primary care physicians have an unparalleled opportunity to address both their physical and their mental health needs.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0500/oa1.html

More than One-Half of Adults Hospitalized for COVID-19 Still Report Significant ... Restricted content. Login required.

Jul 1, 2021 - This study found that more than one-half of the adults (51%) who had been hospitalized for COVID-19 reported a significant amount of persistent symptoms four months after discharge.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p206a.html

Screening for Ovarian Cancer with CA 125 and Ultrasound Algorithm Does Not Reduce ... Restricted content. Login required.

Aug 1, 2021 - Like the U.S. Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial, this large and long U.K. study found no reduction in ovarian cancer mortality with screening using ultrasonography or a multimodal CA 125–based screening strategy.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p422a.html

Nontender Rash on the Soles of the Feet in a Febrile Adult - Photo Quiz - American ... Restricted content. Login required.

Jul 1, 2021 - A patient with multiple medical conditions presented with nonpurulent cellulitis and MRSA bacteremia.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0700/p83.html

Racial Disparities at the End of Life - Editorials - American Family Physician

Aug 1, 2021 - The COVID-19 pandemic has drawn greater attention to the continuing discrimination that racial minorities face within the medical system. Often these disparities are considered in the context of patients who are not actively dying. However, care delivered at the end of life is also ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1000/p346.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

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons - ... Restricted content. Login required.

Jun 15, 2021 - A 27-year-old patient, R.C., with a history of generalized anxiety disorder presents for a wellness examination. R.C. previously smoked a pack of cigarettes per day but has cut down to half a pack per day and started using electronic cigarettes (e-cigarettes) and is interested in ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0615/p753.html

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