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ACIP Approves 2021 Adult and Child/ Adolescent Immunization Schedules - Practice ... Restricted content. Login required.

Feb 15, 2021 - The 2021 adult and child/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p250.html

Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness... Restricted content. Login required.

Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0415/p505.html

Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0901/od2.html

Autism Screening with Follow-Up Overidentifies Autism Spectrum Disorder - POEMs - ... Restricted content. Login required.

May 15, 2020 - Screening for ASD with the Modified Checklist for Autism in Toddlers with Follow-Up is effective in ruling out ASD in children who screen positive (negative predictive value of 98.6% at 2.2% prevalence).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections - ... Restricted content. Login required.

Nov 15, 2020 - A 24-year-old cisgender woman presents to your primary care clinic for a routine physical examination. Her only medication is an etonogestrel (Implanon) 68-mg implant for birth control. She reports occasional vaping of electronic cigarettes and states that she does not drink alcohol or ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1115/p623.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: ...

Nov 15, 2020 - The USPSTF recommends behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.

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

https://www.aafp.org/afp/2020/1115/od1.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

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

Jan 1, 2021 - Breast cancer is the most common nonskin cancer in women and accounts for 30% of all new cancers in the United States. The highest incidence of breast cancer is in women 70 to 74 years of age. Numerous risk factors are associated with the development of breast cancer. A risk assessment ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p33.html

Cervical Colposcopy: Indications and Risk Assessment - American Family Physician Restricted content. Login required.

Jul 1, 2020 - The practice of colposcopy, a diagnostic procedure to evaluate for vaginal, vulvar, and cervical dysplasia, has evolved to incorporate patient risk factors for high-grade cervical intraepithelial neoplasia (CIN) and cancer. Changes in cervical cancer screening and guidelines, human ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p39.html

Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis - Editorials - ...

Jul 15, 2020 - Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0715/p78.html

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

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Colorectal Cancer Screening: BMJ Rapid Recommendation - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p253.html

CT Colonography for Colorectal Cancer Screening - Diagnostic Tests: What Physicians ... Restricted content. Login required.

Jan 1, 2021 - Computed tomography colonography performs well for colorectal cancer screening. Long-term studies are needed to demonstrate its impact on patient morbidity and mortality, as well as to determine the risks, benefits, and costs.

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

https://www.aafp.org/afp/2021/0101/p55.html

Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ... Restricted content. Login required.

Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p375a.html

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

Emergency Contraception: Safety and Effectiveness - Cochrane for Clinicians - American ... Restricted content. Login required.

Jun 1, 2020 - Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p651.html

Evidence Lacking to Support Universal Unhealthy Drug Use Screening - Editorials - ...

Jan 15, 2021 - To address the growing problem of unhealthy drug use, the U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations on screening for unhealthy drug use in adults and adolescents. For the first time, the USPSTF recommends screening adults 18 years and older by ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0115/p72.html

Evidence to Avoid Overtesting and Overuse in Diabetes Mellitus and Other Diseases - ...

Nov 15, 2020 - What can physicians do to avoid overuse? Start by asking the right questions.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1115/p583.html

Family Planning and Contraception - American Family Physician

Mar 1, 2021 - This collection features AFP content on family planning and contraception, including emergency contraception, hormonal and non-hormonal contraception, infertility, in vitro fertilization, intrauterine devices, preconception care, tubal sterilization, and vasectomy. This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=71

Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Mar 15, 2020 - 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/2020/0315/p370.html

Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...

Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0901/p264.html

Health Maintenance and Counseling - American Family Physician

Feb 15, 2021 - This collection features AFP content on health maintenance and counseling and related issues, including dietary and nutrition guidelines, health maintenance in children, lifestyle counseling, and physical activity. This collection features AFP content on health maintenance and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=64

Health Maintenance for Women of Reproductive Age - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Health maintenance for women of reproductive age includes counseling and screening tests that have been demonstrated to prevent disease and improve health. This article focuses mainly on conditions that are more common in women or have a unique impact on female patients. Family ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0215/p209.html

How to Manage a Patient with Weight Regain - Curbside Consultation - American Family ... Restricted content. Login required.

Nov 1, 2020 - A 50-year-old patient, M.W., successfully reached their goal weight by losing 15 lb (6.8 kg) over six months on a Mediterranean diet. After maintaining the weight loss for more than a year, my patient is now 30 lb (13.6 kg) over their ideal body weight of 140 lb (63.5 kg).

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/1101/p567.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

Hyperlipidemia - American Family Physician

Jan 15, 2021 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels. This collection features AFP content on hyperlipidemia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

Immunizations (excluding Influenza) - American Family Physician

Feb 15, 2021 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=63

Immunizations in Pregnancy: Updated Recommendations - Editorials - American Family ...

Aug 15, 2020 - Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p205.html

Influenza - American Family Physician

Oct 15, 2020 - This collection features AFP content on influenza and related issues, including influenza vaccination and avian influenza. This collection features AFP content on influenza and related issues, including influenza vaccination and avian influenza.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=14

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

Integrating Breast Cancer Risk Management into Primary Care - Editorials - American ...

Mar 15, 2020 - It is important that primary care physicians have the ability and resources to identify women eligible for genetic counseling and testing for breast cancer.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0315/p330.html

Interventions for Reducing Childhood Obesity - Cochrane for Clinicians - American ... Restricted content. Login required.

Apr 1, 2020 - Individual dietary interventions alone fail to change body mass index or the standardized BMI z-score across all age groups. The impact of regular physical activity or combined dietary and physical activity interventions is modest at best.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0401/p394.html

Keratinocyte Carcinomas: Should We Screen for Them? - Editorials - American Family ...

Sep 15, 2020 - Keratinocyte carcinoma, which includes basal cell and cutaneous squamous cell carcinomas, is common, and the incidence is increasing.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0915/p330.html

Low-Dose Aspirin Beneficial for the Prevention of Preterm Birth in Nulliparous Patients... Restricted content. Login required.

Nov 15, 2020 - The routine use of low-dose aspirin, 81 mg daily, starting as early as six weeks' gestational age provided a statistically significant absolute risk reduction (nearly 2 percentage points) in the incidence of preterm birth among nulliparous patients with singleton gestation in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od4.html

Mailing gFOBT or FIT Directly to Patients Increases Uptake of Colorectal Cancer ... Restricted content. Login required.

Jul 15, 2020 - Mailed outreach significantly increases rates of colorectal cancer screening, with four tests needing to be mailed to screen one person.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117.html

Making Recommendations to Reduce Noise Exposure - Curbside Consultation - American ... Restricted content. Login required.

Jan 1, 2021 - A 23-year-old patient, M.P., presents to your office with upper respiratory symptoms. When you enter the room, M.P. is using earbuds to listen to music on a personal listening device. The volume is loud enough for you to hear the music but not distinguish details. After addressing the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0101/p57.html

Management of Hypertriglyceridemia: Common Questions and Answers - American Family ... Restricted content. Login required.

Sep 15, 2020 - Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p347.html

Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ... Restricted content. Login required.

Mar 15, 2020 - E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0315/p373.html

Medication Use to Reduce Risk of Breast Cancer: Recommendation Statement - U.S. ...

Mar 15, 2020 - The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women who are at increased risk for breast cancer and at low risk for adverse medication effects.

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

https://www.aafp.org/afp/2020/0315/od1.html

Metformin to Prevent Diabetes in Patients at Increased Risk - Cochrane for Clinicians -... Restricted content. Login required.

Nov 1, 2020 - In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p531.html

Nicotine Replacement Therapy for Smoking Cessation - Cochrane for Clinicians - American... Restricted content. Login required.

Jul 1, 2020 - Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p17.html

Nutrition - American Family Physician

Jul 1, 2020 - Advertisement AFP BY TOPIC Nutrition Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on nutrition and related issues, including diets, physical activity, prevention of cardiovascular disease,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86

Obesity - American Family Physician

Nov 1, 2020 - This collection features AFP content on obesity and related issues, including bariatric surgery, childhood obesity, diet, exercise, lifestyle counseling, and weight loss maintenance. This collection features AFP content on obesity and related issues, including bariatric surgery, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=19

Occupational Health - American Family Physician

Feb 1, 2021 - Advertisement AFP BY TOPIC Occupational Health Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on occupational health, including back pain and injuries, impairment and disability evaluations,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Osteoporosis - American Family Physician

Aug 15, 2020 - This collection features AFP content on osteoporosis and related issues, including calcium supplementation, fracture prevention, hip fracture, radiologic bone assessment, and vitamin D deficiency. This collection features AFP content on osteoporosis and related issues, including calcium...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=20

Outpatient Burn Care: Prevention and Treatment - American Family Physician Restricted content. Login required.

Apr 15, 2020 - Most patients with burn injuries are treated as outpatients. Two key determinants of the need for referral to a burn center are burn depth and percentage of total body surface area involved. All burn injuries are considered trauma, prompting immediate evaluation for concomitant ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0415/p463.html

PAULA’s Test for Lung Cancer Screening - Diagnostic Tests: What Physicians Need to Know... Restricted content. Login required.

Jul 1, 2020 - Because of insufficient evidence of benefit, no recommendations can be made regarding PAULA's test. Prospective cohort studies of a screening population and randomized controlled trials comparing cancer mortality outcomes using PAULA's test vs. low-dose CT and no screening are needed ...

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

https://www.aafp.org/afp/2020/0701/p53.html

Preparticipation Physical Evaluation: AAFP and Others Update Recommendations - Practice... Restricted content. Login required.

Jun 1, 2020 - The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0601/p692.html

Prevention of Unintentional Childhood Injury - American Family Physician Restricted content. Login required.

Oct 1, 2020 - Unintentional injury accounts for one-third of deaths in children and adolescents each year, primarily from motor vehicle crashes. Children younger than 13 years should be restrained in the back seat, and infants and toddlers should remain rear-facing until at least two years of age. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1001/p411.html

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