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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

Applying a Clinical Prediction Rule to Distinguish Lower Extremity Cellulitis from Its ... Restricted content. Login required.

Aug 1, 2021 - How can the clinician best determine whether a patient with lower leg erythema has cellulitis?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0900/p309.html

Using Race with Caution in the ASCVD Calculator - Curbside Consultation - American ... Restricted content. Login required.

Aug 1, 2021 - The use of race in clinical decision-making is a source of controversy in U.S. modern medicine. Definitions of race are inconsistent throughout the medical literature and in medical education, and most experts in biology and social sciences agree that race has a limited biologic basis ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0900/p292.html

Management of Gout: Update from the American College of Rheumatology - Practice ... Restricted content. Login required.

Jul 1, 2021 - The American College of Rheumatology published updated guidelines for gout management focused on improving prevention of flare-ups.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0800/p209.html

GeneSight Psychotropic Genetic Testing for Psychiatric Medication Selection - ... Restricted content. Login required.

Jul 1, 2021 - The GeneSight test may assist in drug selection and dosing for individuals having difficulty finding an effective option or who have had intolerable adverse effects after trials of several drugs. However, because only a small population of patients are expected to have genetic ...

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

https://www.aafp.org/afp/2021/0700/p89.html

Diary of a Family Physician - Sep 01, 2021 - American Family Physician

Aug 1, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/0900/p313.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

Parasitic Infections: Do Not Neglect Strongyloidiasis - Editorials - American Family ...

Aug 1, 2021 - Although the intestinal roundworm Strongyloides stercoralis is not on the Centers for Disease Control and Prevention's list of neglected parasitic infections, it deserves increased awareness. There are an estimated 30 million to 100 million infections from S. stercoralis worldwide and a...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p224.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

Hydrochlorothiazide vs. Chlorthalidone for the Treatment of Hypertension - FPIN's Help ... Restricted content. Login required.

Jul 1, 2021 - Chlorthalidone reduces systolic blood pressure by 10 mm Hg more than hydrochlorothiazide at equal dosages in patients using monotherapy. Low-dose chlorthalidone and controlled-release hydrochlorothiazide reduce 24-hour ambulatory systolic blood pressure and diastolic blood pressure, ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0800/p203.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

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

Treatment of Chronic Obstructive Pulmonary Disease: Guidelines from the VA/DoD - ... Restricted content. Login required.

Jul 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense published guidelines for the primary care management of COPD.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p98.html

Chronic Kidney Disease in Diabetes: Guidelines from KDIGO - Practice Guidelines - ... Restricted content. Login required.

Jun 1, 2021 - The Kidney Disease: Improving Global Outcomes (KDIGO) group, an international organization dedicated to nephrology clinical practice guidelines, has developed a new guideline for management of diabetes with chronic kidney disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0601/p698.html

Clascoterone (Winlevi) for the Treatment of Acne - STEPS - American Family Physician Restricted content. Login required.

Jul 1, 2021 - More comparative data are needed to justify the use of clascoterone over less expensive, currently available therapies for moderate to severe acne. However, systemic absorption of clascoterone is low, and it may serve as a safe alternative for patients 12 years and older who saw ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0700/p93.html

In Older Adults, Aspirin Increases the Risk of Metastatic or Stage 4 Cancers and Cancer... Restricted content. Login required.

Aug 1, 2021 - In this large trial, older adults who received aspirin had higher rates of metastatic cancer, stage 4 cancer, and cancer mortality than those who received placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od4.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

Can Pioglitazone Prevent or Delay Type 2 Diabetes in Patients with Prediabetes? - ... Restricted content. Login required.

Jul 1, 2021 - Pioglitazone prevents or delays the incidence of type 2 diabetes in individuals with prediabetes when compared with placebo (absolute risk reduction [ARR] = 11.3%; 95% CI, 0.9% to 15.6%; number needed to treat [NNT] = 9) or no intervention (ARR = 13.3%; 95% CI, 11.6% to 14.9%; NNT = 7)....

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0800/p139.html

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

Diagnosis and Initial Management of Acute Colonic Diverticulitis - Implementing AHRQ ... Restricted content. Login required.

Jul 1, 2021 - What are the benefits and harms of diagnostic testing, and what is the effectiveness of treatment options for acute colonic diverticulitis?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0800/p195.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

The Risk of Progression from Prediabetes to Diabetes in Older Adults Is Low - POEMs - ... Restricted content. Login required.

Aug 1, 2021 - Older patients generally will not progress to diabetes; they will either, over an average of 6.5 years, stay at the prediabetic levels or revert to normal levels. If a patient makes it to their mid-70s without a diagnosis of diabetes, it is unlikely to occur.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od3.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

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

Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology... Restricted content. Login required.

Jan 15, 2021 - The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0115/p120.html

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