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Obstructive Sleep Apnea and Chronic Insomnia Disorder: Updated Guidelines from the ... Restricted content. Login required.

Apr 1, 2021 - The U.S. Department of Veterans Affairs and Department of Defense (VA/DoD) approved a clinical practice guideline for the management of obstructive sleep apnea and chronic insomnia disorder.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0401/p442.html

Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis - Letters to...

Apr 1, 2021 - Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis

American Family Physician : Letter

https://www.aafp.org/afp/2021/0401/p395.html

Preventing Physician Suicide - Editorials - American Family Physician

Apr 1, 2021 - Physicians who complete suicide are much less likely to have sought mental health care compared with nonphysicians, most commonly because of barriers to access and stigma in the medical community.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0401/p396.html

Treatment of Distal DVT - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Apr 1, 2021 - A Cochrane review demonstrated that anticoagulation was effective and superior to observation for deep venous thrombosis; however, given the quality of the evidence, the benefits are unclear.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0401/p432.html

Active vs. Expectant Management in the Third Stage of Labor - Cochrane for Clinicians -... Restricted content. Login required.

Apr 1, 2021 - Very low-quality evidence suggests that active management of the third stage of labor reduces the risk of severe primary postpartum hemorrhage greater than 1,000 mL.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0401/p404.html

Kinesiology Taping for Knee Osteoarthritis Pain - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Apr 1, 2021 - How effective is kinesiology taping (elastic tape applied to the knee to create patellar tension) for osteoarthritis pain of the knee?

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0401/p434.html

Epidural Corticosteroid Injections for Lumbosacral Radicular Pain - Cochrane for ... Restricted content. Login required.

Apr 1, 2021 - Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0401/p405.html

The Role of Family Medicine in Reducing the Risk of Myopia - Letters to the Editor - ...

Apr 1, 2021 - The Role of Family Medicine in Reducing the Risk of Myopia

American Family Physician : Letter

https://www.aafp.org/afp/2021/0401/p394.html

Digital Breast Tomosynthesis for Breast Cancer Screening - Diagnostic Tests: What ... Restricted content. Login required.

Apr 1, 2021 - There is currently not enough evidence to replace digital mammography with digital breast tomosynthesis for breast cancer screening in women at average or high risk.

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

https://www.aafp.org/afp/2021/0401/p430.html

In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces ... Restricted content. Login required.

Apr 1, 2021 - In high-risk older patients with recent-onset atrial fibrillation, a strategy of rhythm control results in fewer cardiovascular deaths and fewer strokes.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p440.html

iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation - POEMs - ... Restricted content. Login required.

Apr 1, 2021 - Use of the iCanQuit smartphone app by smokers, who were recruited through Facebook and other Internet tools, produced higher cessation rates at 12 months (28.2%) than the QuitGuide app (21.1%).

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p441.html

Acute Neck Swelling in a Child - Photo Quiz - American Family Physician Restricted content. Login required.

Apr 1, 2021 - A five-year-old child presented with a midline swelling on his neck

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0401/p437.html

Three Strategies Are Effective in Managing Patients with Medication Overuse Headaches -... Restricted content. Login required.

Apr 1, 2021 - Achieving cure from medication overuse headaches after six months was likely regardless of strategy: detoxification (discontinuation of analgesic) plus pharmacologic prophylaxis, pharmacologic prophylaxis without withdrawal, or detoxification with pharmacologic preventive therapy ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p439a.html

Tuberculosis, COPD, Pelvic Floor Muscle Training, Burns, Sepsis - AFP Clinical Answers ... Restricted content. Login required.

Apr 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/2021/0401/p403.html

Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic - POEMs - American... Restricted content. Login required.

Apr 1, 2021 - Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief with surgery ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p439.html

Case Report: Chest-Wall Lump Yields a Surprising Diagnosis - Letters to the Editor - ...

Apr 1, 2021 - << Previous article Next article >> Apr 1, 2021 Issue Letters to the Editor Case Report: Chest-Wall Lump Yields a Surprising Diagnosis Am Fam Physician. 2021 Apr 1;103(7):393-394. To the Editor: A 17-year-old patient presented with a solitary lump over the right chest wall of three...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0401/p393.html

Common Fractures of the Radius and Ulna - American Family Physician Restricted content. Login required.

Mar 15, 2021 - Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. Evaluation with ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0315/p345.html

Topical Corticosteroids: Choice and Application - American Family Physician Restricted content. Login required.

Mar 15, 2021 - Topical corticosteroids are an essential tool for treating inflammatory skin conditions such as psoriasis and atopic dermatitis. Topical corticosteroids are classified by strength and the risk of adverse effects such as atrophy, striae, rosacea, telangiectasias, purpura, and other ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0315/p337.html

Pain Management in Labor - American Family Physician Restricted content. Login required.

Mar 15, 2021 - A patient’s sense of empowerment and control is most predictive of maternal satisfaction with childbirth. Analgesia during labor greatly affects this experience. Individual patient priorities for labor pain management should be explored as part of routine prenatal care. Continuous labor...

American Family Physician : Article

https://www.aafp.org/afp/2021/0315/p355.html

Medications for Smoking Cessation: Guidelines from the American Thoracic Society - ... Restricted content. Login required.

Mar 15, 2021 - The American Thoracic Society (ATS) published guidelines for medication initiation in tobacco-dependent adults based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0315/p380.html

The KIDs List: Medications That Are Potentially Inappropriate in Children - Editorials ...

Mar 15, 2021 - The Key Potentially Inappropriate Drugs in Pediatrics (KIDs) List is an open access, evidence-based reference aimed at improving medication safety in children.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0315/p330.html

Canadian Syncope Risk Score: A Validated Risk Stratification Tool - Point-of-Care ... Restricted content. Login required.

Mar 15, 2021 - Which adults presenting to an emergency department with syncope should be hospitalized?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0315/p375.html

Screening for High Blood Pressure in Children and Adolescents - Putting Prevention into... Restricted content. Login required.

Mar 15, 2021 - A 10-year-old boy with obesity and a family history significant for hypertension and hyperlipidemia presents to your clinic for a well-child examination. The parents are concerned about their child 's risk for hypertension and ask whether they should be monitoring his blood pressure.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0315/p371.html

Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for...

Mar 15, 2021 - The USPSTF recommends offering or referring adults with cardiovascular disease (CVD) risk factors to behavioral counseling interventions to promote a healthy diet and physical activity.

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

https://www.aafp.org/afp/2021/0315/p366.html

Bempedoic Acid (Nexletol) for the Treatment of Hyperlipidemia and Familial ... Restricted content. Login required.

Mar 15, 2021 - Bempedoic acid is labeled as add-on therapy to diet and maximally tolerated statin for the treatment of familial hypercholesterolemia or atherosclerotic cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0315/p377.html

Visual Disturbance and Skin Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 15, 2021 - A patient presented with progressive bilateral visual blurring and a maculopapular rash on the trunk.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0315/p373.html

Helping Ambivalent Patients Make Healthy Decisions About COVID-19 - Lown Right Care: ... Restricted content. Login required.

Mar 15, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2021/0315/p334.html

Depression, HPV Immunizations, Coccidioidomycosis, Upper GI Bleeding, Headaches - AFP ... Restricted content. Login required.

Mar 15, 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/2021/0315/p333.html

Clinical Considerations for the Management of Hypertriglyceridemia - Letters to the ...

Mar 15, 2021 - << Previous article Next article >> Mar 15, 2021 Issue Letters to the Editor Clinical Considerations for the Management of Hypertriglyceridemia Am Fam Physician. 2021 Mar 15;103(6):325-326. Original Article: Management of Hypertriglyceridemia: Common Questions and Answers Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p325.html

Evidence-Based Use of Opioids - Letters to the Editor - American Family Physician

Mar 15, 2021 - << Previous article Next article >> Mar 15, 2021 Issue Letters to the Editor Evidence-Based Use of Opioids Am Fam Physician. 2021 Mar 15;103(6):326-327. Original Article: Appropriate Use of Opioids for Chronic Pain [Lown Right Care] Issue Date: September 15, 2020 See additional...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p326.html

Oral and Dental Injury Prevention in Children and Adolescents - Letters to the Editor -...

Mar 15, 2021 - << Previous article Next article >> Mar 15, 2021 Issue Letters to the Editor Oral and Dental Injury Prevention in Children and Adolescents Am Fam Physician. 2021 Mar 15;103(6):328. Original Article: Prevention of Unintentional Childhood Injury Issue Date: October 1, 2020 Available...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p328.html

Managing Pain in Labor - American Family Physician

Mar 15, 2021 - << Previous article Next article >> Mar 15, 2021 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 health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/0315/p355-s1.html

Initiating Hormonal Contraception - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Most patients can safely begin using hormonal contraception at any point in their menstrual cycle. An evidence-based, flexible, patient-centered approach to initiating contraception promotes health and enhances patients’ reproductive autonomy. A recent Papanicolaou test is not necessary...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p291.html

Peripheral Nerve Entrapment and Injury in the Upper Extremity - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Peripheral nerves in the upper extremities are at risk of injury and entrapment because of their superficial nature and length. Injury can result from trauma, anatomic abnormalities, systemic disease, and entrapment. The extent of the injury can range from mild neurapraxia, in which the...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p275.html

Difficult-to-Treat and Severe Asthma: Management Strategies - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Asthma is a common chronic inflammatory disease in the United States. Up to 17% of asthma cases are classified as difficult to treat, and 3.7% of these are considered severe. Uncontrolled asthma is characterized by poor symptom control or frequent exacerbations. In difficult-to-treat ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p286.html

Substance Abuse - American Family Physician

Mar 1, 2021 - Advertisement AFP BY TOPIC Substance Abuse Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on substance abuse and related issues, including addiction, drug dependence, and urine drug screening. New...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=27

Colonoscopy Follow-up: U.S. Multi-Society Task Force on Colorectal Cancer Updates ... Restricted content. Login required.

Mar 1, 2021 - Screening colonoscopy findings define the future risk of colorectal cancer and the need for repeat screening. The U.S. Multi-Society Task Force on Colorectal Cancer updated recommended follow-up intervals after screening colonoscopy in average-risk individuals.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0301/p314.html

Structural MRI for the Early Diagnosis of Alzheimer Disease in Patients with MCI - ... Restricted content. Login required.

Mar 1, 2021 - There is insufficient evidence to recommend structural brain magnetic resonance imaging to diagnose Alzheimer disease in patients with mild cognitive impairment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p273.html

Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA - ... Restricted content. Login required.

Mar 1, 2021 - After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0301/od1.html

Enhancing Diabetes Self-Management Education and Support in Clinical Practice - ...

Mar 1, 2021 - Health systems and family physicians should mobilize to ensure that all people with type 2 diabetes have access to diabetes self-management education and support, including nutritional, physical, and emotional support.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0301/p265.html

Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder -... Restricted content. Login required.

Mar 1, 2021 - Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p272.html

HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive... Restricted content. Login required.

Mar 1, 2021 - HPV vaccination is associated with a significant reduction in the likelihood of invasive cervical cancer.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312.html

Serum Lactate Testing to Predict Mortality in Patients with Sepsis - Diagnostic Tests: ... Restricted content. Login required.

Mar 1, 2021 - Management of patients with sepsis is challenging and mortality is high. Early diagnosis and prompt initiation of therapy are essential. Higher lactate levels correlate with increased risk of mortality, particularly with lactate levels greater than 4.0 mmol per L and in the setting of ...

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

https://www.aafp.org/afp/2021/0301/p309.html

Platelet-Rich Plasma vs. Corticosteroids for Refractory Plantar Fasciitis - FPIN's ... Restricted content. Login required.

Mar 1, 2021 - Platelet-rich plasma injections are similar to corticosteroids for pain relief and improvement in function in patients with refractory plantar fasciitis lasting less than 12 weeks.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0301/p307.html

Bone Mineral Density Testing: One and Done - POEMs - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Rechecking bone mineral density (BMD) after three years does not add additional prognostic information. Serial BMD testing is not useful in estimating fracture risk and assessing the need for treatment because BMD does not change much within three years.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311.html

Erosions and Vesicles in a Febrile Infant - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 1, 2021 - A five-month-old child with a history of dry skin presented with a spreading rash and fever.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0301/p305.html

Better Primary Care Continuity Is Associated with Lower Mortality Risk - POEMs - ... Restricted content. Login required.

Mar 1, 2021 - Most studies in this systematic review found a protective effect of greater primary care continuity and all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311a.html

Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial ... Restricted content. Login required.

Mar 1, 2021 - A lower dose of edoxaban is effective in decreasing stroke and systemic embolism in older patients with atrial fibrillation compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312a.html

Caring for the Physician Affected by Substance Use Disorder - Curbside Consultation - ... Restricted content. Login required.

Mar 1, 2021 - A 34-year-old physician, H.M., is an established patient in my practice. H.M. presents for a follow-up visit after finishing inpatient treatment for opioid use disorder.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0301/p302.html

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