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Raloxifene: A Selective Estrogen Receptor Modulator - American Family Physician

Sep 15, 1999 - Raloxifene is a selective estrogen receptor modulator that produces both estrogen-agonistic effects on bone and lipid metabolism and estrogen-antagonistic effects on uterine endometrium and breast tissue. Because of its tissue selectivity, raloxifene may have fewer side effects than are...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1131.html

Optimizing Beta-Blocker Use After Myocardial Infarction - American Family Physician

Oct 15, 2000 - Although beta-adrenergic blockers can significantly reduce mortality after a myocardial infarction, these agents are prescribed to only a minority of patients. Underutilization of beta blockers may be attributed, in part, to fear of adverse effects, especially in the elderly and in ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1853.html

Treatment Strategies for Premenstrual Syndrome - American Family Physician

Jul 1, 1998 - Premenstrual syndrome (PMS) refers to a group of menstrually related disorders. Premenstrual symptoms sufficient to impair daily activity and relationships are estimated to occur in up to 40 percent of women of reproductive age, with 5 percent of these women having severe impairment. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p183.html

Appropriate Use of the Intrauterine Device - American Family Physician

Dec 1, 1998 - The intrauterine device, a common form of birth control in the early 1970s, is now avoided by American physicians and women because of concern about complications. This concern is largely the result of the problems reported with use of an intrauterine device that is no longer ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2077.html

Over-the-Counter Foot Remedies - American Family Physician

Sep 1, 2001 - Several effective and inexpensive over-the-counter treatments are available for minor but troubling foot problems. In most cases, one week of therapy with topical terbinafine is effective for interdigital tinea pedis. Treatment of plantar warts with 17 percent salicylic acid with lactic...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p791.html

Advances in the Treatment of Alzheimer's Disease - American Family Physician

Nov 1, 1998 - Management of the most common type of dementia--Alzheimer's disease--is becoming increasingly sophisticated. Differentiation of Alzheimer's disease from vascular dementia has become therapeutically important, since the choice of treatments depends on the diagnosis. Two cholinesterase ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1101/p1577.html

Treatment of Nonmalignant Chronic Pain - American Family Physician

Mar 1, 2000 - Nonmalignant, chronic pain is associated with physical, emotional and financial disability. Recent animal studies have shown that remodeling within the central nervous system causes the physical pathogenesis of chronic pain. This central neural plasticity results in persistent pain ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1331.html

Hospice Care in the Nursing Home - American Family Physician

Feb 1, 1998 - Hospice care is being used more frequently to provide skills and services that are not otherwise available in nursing homes. For eligible terminally ill patients, the Medicare Hospice Benefit supplies an interdisciplinary team with skills in pain management, symptom control and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p491.html

Cytochrome P450: New Nomenclature and Clinical Implications - American Family Physician

Jan 1, 1998 - Many drug interactions are a result of inhibition or induction of cytochrome P450 enzymes (CYP450). The CYP3A subfamily is involved in many clinically significant drug interactions, including those involving nonsedating antihistamines and cisapride, that may result in cardiac ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p107.html

Appropriate Use of Antibiotics for URIs in Children: Part II. Cough, Pharyngitis and ...

Oct 15, 1998 - This article summarizes the principles of judicious antimicrobial therapy for three of the five conditions--cough, pharyngitis, the common cold--that account for most of the outpatient use of these drugs in the United States. The principles governing the other two conditions, otitis ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1335.html

Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease ...

Jan 15, 2002 - Coronary heart disease, the leading cause of death in women, is largely preventable. Lifestyle modifications (e.g., diet and exercise) are the cornerstone of primary and secondary prevention. Elevated levels of low-density lipoprotein cholesterol and triglycerides and low levels of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p217.html

Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of Life - ...

Jan 15, 2002 - About one half of patients who have essential hypertension have obstructive sleep apnea, and about one half of patients who have obstructive sleep apnea have essential hypertension. A growing body of evidence suggests that obstructive sleep apnea is a major contributing factor in the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p229.html

Dietary Therapy for Children with Hypercholesterolemia - American Family Physician

Feb 1, 2000 - Accumulating evidence clearly shows that atherosclerosis begins in youth. The National Cholesterol Education Program (NCEP) has recommended that children at high risk of developing coronary artery disease as adults be screened so that those with elevated low-density lipoprotein (LDL) ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p675.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

Jan 15, 2001 - Primary and secondary prevention trials have shown that use of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) to lower an elevated low-density lipoprotein cholesterol level can substantially reduce coronary events and death from coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p309.html

Developing and Communicating a Long-Term Treatment Plan for Asthma - American Family ...

Apr 15, 2000 - The treatment of asthma, according to current guidelines, requires complex treatment regimens that change as clinical conditions improve or deteriorate. We have developed a practical way to communicate long-term treatment plans in chart form in the primary care setting that is easy for ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2419.html

Overview of Refractive Surgery - American Family Physician

Oct 1, 2001 - Patients with myopia, hyperopia and astigmatism can now reduce or eliminate their dependence on contact lenses and eyeglasses through refractive surgery that includes radial keratotomy (RK), photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis (LASIK), laser thermal ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1183.html

Somatizing Patients: Part II. Practical Management - American Family Physician

Mar 1, 2000 - Somatization is the experiencing of physical symptoms in response to emotional distress. It is a common and costly disorder that is frustrating to patients and physicians. Successful treatment of somatization requires giving an acceptable explanation of the symptoms to the patient, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1423.html

Plasma Viral Load Testing in the Management of HIV Infection - American Family Physician

Feb 1, 2001 - The polymerase chain reaction assay, branched DNA assay and nucleic acid sequence-based amplification assay quantitate human immunodeficiency virus (HIV) RNA levels. Plasma viral load (PVL) testing has become a cornerstone of HIV disease management. Initiation of antiretroviral drug ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0201/p483.html

Advances in the Treatment of Epilepsy - American Family Physician

Jul 1, 2001 - Significant advances have been made in the diagnosis and treatment of epilepsy over the past decade. With the advent of electroencephalographic video monitoring, physicians are now able to reliably differentiate epilepsy from other conditions that can mimic it, such as pseudoseizures. ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0701/p91.html

Antimicrobial Resistence: A Plan of Action for Community Practice - American Family ...

Mar 15, 2001 - Antibiotic resistance was once confined primarily to hospitals but is becoming increasingly prevalent in family practice settings, making daily therapeutic decisions more challenging. Recent reports of pediatric deaths and illnesses in communities in the United States have raised ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1087.html

Practical Steps to Smoking Cessation for Recovering Alcoholics - American Family Physician

Apr 15, 1998 - Smoking rates among persons with a history of alcohol abuse are triple that of the general public. Strong evidence indicates that the risk of cancer and cardiovascular disease is higher in recovering alcoholics than in peers who smoke, but do not drink alcohol. Yet these persons often ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1869.html

Appropriate Use of Antibiotics for URIs in Children: Part I. Otitis Media and Acute ...

Oct 1, 1998 - Five conditions--otitis media, acute sinusitis, cough, pharyngitis and the common cold--account for most of the outpatient use of antibiotics in the United States. The first part of this two-part article presents guidelines that encourage physicians to make an appropriate distinction ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1113.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

Use of Immunotherapy in a Primary Care Office - American Family Physician

Apr 15, 1998 - Immunotherapy has been used for over 80 years. It is a safe and effective therapeutic intervention for allergic rhinitis, but its use in the treatment of asthma is more controversial. Patients with unstable asthma are at increased risk of adverse effects from immunotherapy; therefore, ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1888.html

Understanding the Guidelines for Treating HIV Disease - American Family Physician

Jan 15, 1998 - In 1996 a panel of experts convened by the International AIDS Society-USA issued new guidelines for treating human immunodeficiency virus (HIV) infection, which have recently been updated. Quantitative plasma HIV-1 RNA concentration (viral load) and CD4+ lymphocyte levels are used to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p315.html

Advances in the Treatment of Arrhythmias: Implantable Cardioverter-Defibrillators - ...

Jan 15, 1998 - Implantable cardioverter-defibrillators are commonly used in patients who have life-threatening ventricular arrhythmias. With these implanted electronic devices, bradyarrhythmias and tachyarrhythmias can be recognized promptly and treated with electrical pacing, cardioversion or ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p297.html

Can Melatonin Prevent or Treat Jet Lag? - Cochrane for Clinicians - American Family ...

Dec 1, 2002 - Daily doses of 0.5 to 5 mg of melatonin, taken at the target bedtime at the destination for two to five days after arrival, lessen the effects of jet lag.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/1201/p2087.html

Should We Prescribe Antibiotics for Acute Conjunctivitis? - Cochrane for Clinicians - ...

Nov 1, 2002 - This review indicates that even in high-risk patients with bacterial conjunctivitis, there is only a small benefit of treatment with antibiotics. Furthermore, most cases (64 percent) resolve spontaneously, and complications are rare. Therefore, it is reasonable to avoid antibiotic use ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/1101/p1649.html

Should We Recommend Nicotine Replacement Therapy? - Cochrane for Clinicians - American ...

Jun 1, 2001 - Yes. The patient is highly nicotine-dependent, and for smokers with moderate to severe nicotine dependence, nicotine replacement therapy with or without bupropion should be offered as part of an intensive program of physician advice, counseling and follow-up. This answer is based on an ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2001/0601/p2245.html

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