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Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation - American...

May 15, 2019 - Many people with depression or anxiety turn to nonpharmacologic and nonconventional interventions, including exercise, yoga, meditation, tai chi, or qi gong. Meta-analyses and systematic reviews have shown that these interventions can improve symptoms of depression and anxiety ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0515/p620.html

Depression in Children and Adolescents - Clinical Evidence Handbook - American Family ...

Dec 15, 2012 - What are the effects of pharmacological and psychological treatments for depression in children and adolescents? What are the effects of combination and complementary treatments for depression in children and adolescents? What are the effects of treatments for refractory depression in ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/1215/p1138.html

Depression in Children and Adolescents - Clinical Evidence Handbook - American Family ...

Feb 1, 2003 - What are the effects of treatments for depression in children and adolescents? Which treatments are effective to improve long-term outcomes?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0201/p577.html

Depression in Post-MI Patients: An Opportunity for Primary Care - Editorials - American...

Nov 1, 2009 - Advertisement << Previous article Next article >> Nov 1, 2009 Issue Editorials Depression in Post-MI Patients: An Opportunity for Primary Care DONALD E. NEASE, JR., MD, University of Michigan Medical School, Ann Arbor, Michigan Am Fam Physician. 2009 Nov 1;80(9):917. The American...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/1101/p917.html

Depressive Disorders - Clinical Evidence Handbook - American Family Physician

Jun 1, 2006 - What are the effects of treatments in mild to moderate or severe depression? Which interventions reduce relapse rates? What are the effects of interventions to improve delivery of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0601/p1999.html

Depressive Disorders - Clinical Evidence Handbook - American Family Physician

Apr 1, 2002 - What are the effects of treatments for depressive disorders? What are the effects of continuation treatment with antidepressant drugs? Which treatments are most effective at improving long-term outcome?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2002/0401/p1395.html

Desloratadine for Allergic Rhinitis - STEPS - American Family Physician

Nov 15, 2003 - Desloratadine is somewhat effective for the treatment of seasonal allergic rhinitis and may decrease nasal congestion. It also is effective for chronic urticaria. Desloratadine is similar in effectiveness to fexofenadine and would be expected to produce results similar to loratadine and...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1115/p2015.html

Desmopressin Effective for Treating Nocturia in Adults - POEMs - American Family Physician

Dec 1, 2014 - Desmopressin is a safe and effective treatment to offer adults with clinically significant nocturia. The initial starting dose should be 50 to 100 mcg, with lower dosing for the advanced older patient. All patients should be monitored for hyponatremia.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1201/p796a.html

Detrimental Effect of Tight Glucose Control on CV Mortality Persists Over Nine Years - ...

Mar 15, 2017 - The initial Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, which compared standard treatment with intensive control, found that despite good intentions, cardiovascular (CV) and overall mortality are significantly higher when blood glucose levels are lower.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0315/od2.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

Dexamethasone May Reduce Sore Throat Symptoms in Adults at 48 Hours - POEMs - American ...

Aug 15, 2017 - A single dose of oral dexamethasone is no more effective than placebo in resolving acute sore throat symptoms at 24 hours in adults who do not receive immediate antibiotic therapy. However, among a multitude of exploratory secondary outcomes, the authors found that, compared with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p260a.html

Dextrose Prolotherapy Decreases Pain and Stiffness in Knee Degenerative Joint Disease -...

Nov 1, 2013 - Dextrose prolotherapy appears to be more effective in decreasing pain and stiffness, and improving function in patients with knee degenerative joint disease than saline injections and home exercise.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/od1.html

Diabetes Education and Glycemic Control - FPIN's Clinical Inquiries - American Family ...

Feb 15, 2018 - Counseling by a diabetes educator or a team of educators delivered in a variety of formats may reduce A1C levels by 0.2% to 0.8% compared with usual care alone. Diabetes educators should be considered for patients who have higher baseline A1C levels (8% to 9%) because this group had ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/0215/p269.html

Diabetes Mellitus: Management of Gastrointestinal Complications - American Family ...

Dec 15, 2016 - Gastrointestinal disorders are common complications of diabetes mellitus and include gastroparesis, nonalcoholic fatty liver disease, gastroesophageal reflux disease, and chronic diarrhea. Symptoms of gastroparesis include early satiety, postprandial fullness, nausea, vomiting of ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1215/p980.html

Diabetes Self-Management: Facilitating Lifestyle Change - American Family Physician

Sep 15, 2017 - Healthy eating and increased physical activity can prevent or delay the onset of diabetes mellitus and facilitate diabetes management. Current guidelines recommend long-term weight loss of 5% to 7% of body weight and 150 minutes of at least moderate-intensity physical activity per week ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0915/p362.html

Diabetes: Foot Ulcers and Amputations - Clinical Evidence Handbook - American Family ...

Oct 15, 2009 - What are the effects of interventions to prevent foot ulcers and amputations in persons with diabetes? What are the effects of treatments in persons with diabetes with foot ulceration?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/1015/p789.html

Diabetes: Treating Hypertension - Clinical Evidence Handbook - American Family Physician

Apr 15, 2013 - What are the effects of antihypertensives and different blood pressure targets in persons with diabetes and hypertension?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0415/p574.html

Diabetic Foot Infection - American Family Physician

Jul 1, 2008 - Foot infections are common in patients with diabetes and are associated with high morbidity and risk of lower extremity amputation. Diabetic foot infections are classified as mild, moderate, or severe. Gram-positive bacteria, such as Staphylococcus aureus and beta-hemolytic ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0701/p71.html

Diabetic Ketoacidosis - American Family Physician

May 1, 2005 - A diagnosis of diabetic ketoacidosis requires the patient's plasma glucose concentration to be above 250 mg per dL (although it usually is much higher), the pH level to be less than 7.30, and the bicarbonate level to be 18 mEq per L or less. Beta-hydroxybutyrate is a better measurement ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0501/p1705.html

Diabetic Ketoacidosis: Evaluation and Treatment - American Family Physician

Mar 1, 2013 - Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0301/p337.html

Diabetic Nephropathy - Clinical Evidence Handbook - American Family Physician

Dec 1, 2005 - What are the effects of treatments in persons with type 1 diabetes and early or late nephropathy? What are the effects of treatments in persons with type 2 diabetes and early or late nephropathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/1201/p2299.html

Diabetic Nephropathy: Preventing Progression - Clinical Evidence Handbook - American ...

Mar 15, 2011 - What are the effects of treatments to prevent progression of nephropathy in persons with type 1 and type 2 diabetes and early and late nephropathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0315/p732.html

Diagnosis and Initial Management of Acute HIV Infection - American Family Physician

May 15, 2010 - Recognition and diagnosis of acute human immunodeficiency virus (HIV) infection in the primary care setting presents an opportunity for patient education and health promotion. Symptoms of acute HIV infection are nonspecific (e.g., fever, malaise, myalgias, rash), making misdiagnosis ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0515/p1239.html

Diagnosis and Management of Cerumen Impaction - Practice Guidelines - American Family ...

Nov 1, 2009 - Cerumen, or earwax, is normally expelled from the ear canal by a self-cleaning mechanism assisted by jaw movement. Physicians should diagnose impaction only when an accumulation of cerumen is associated with symptoms (e.g., otalgia, tinnitus, vertigo) or prevents necessary assessment of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1101/p1011.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Diagnosis and Management of Preeclampsia - American Family Physician

Dec 15, 2004 - Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood pressure ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2317.html

Diagnosis and Treatment of Acute Uncomplicated Cystitis - American Family Physician

Oct 1, 2011 - Urinary tract infections are the most common bacterial infections in women. Most urinary tract infections are acute uncomplicated cystitis. Identifiers of acute uncomplicated cystitis are frequency and dysuria in an immunocompetent woman of childbearing age who has no comorbidities or ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1001/p771.html

Diagnosis and Treatment of Biceps Tendinitis and Tendinosis - American Family Physician

Sep 1, 2009 - Biceps tendinitis is inflammation of the tendon around the long head of the biceps muscle. Biceps tendinosis is caused by degeneration of the tendon from athletics requiring overhead motion or from the normal aging process. Inflammation of the biceps tendon in the bicipital groove, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0901/p470.html

Diagnostic and Therapeutic Injection of the Ankle and Foot - American Family Physician

Oct 1, 2003 - Joint and soft tissue injection of the ankle and foot region is a useful diagnostic and therapeutic tool for the family physician. This article reviews the injection procedure for the plantar fascia, ankle joint, tarsal tunnel, interdigital space, and first metatarsophalangeal joint. ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1356.html

Diagnostic and Therapeutic Injection of the Elbow Region - American Family Physician

Dec 1, 2002 - Joint injection of the elbow is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for the elbow joint, medial and lateral epicondylitis, and olecranon bursitis are reviewed. Persistent pain related to inflammatory conditions ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2097.html

Diagnostic and Therapeutic Injection of the Hip and Knee - American Family Physician

May 15, 2003 - Joint injection of the hip and knee regions is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedure for the greater trochanteric bursa, the knee joint, the pes anserine bursa, the iliotibial band, and the prepatellar bursa is ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2147.html

Diagnostic and Therapeutic Injection of the Shoulder Region - American Family Physician

Mar 15, 2003 - The shoulder is the site of multiple injuries and inflammatory conditions that lend themselves to diagnostic and therapeutic injection. Joint injection should be considered after other therapeutic interventions such as nonsteroidal anti-inflammatory drugs, physical therapy, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1271.html

Diagnostic and Therapeutic Injection of the Wrist and Hand Region - American Family ...

Feb 15, 2003 - Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for carpal tunnel syndrome, de Quervain's tenosynovitis, osteoarthritis of the first carpometacarpal joint, wrist ganglion cysts, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0215/p745.html

Diarrhea in Adults (Acute) - Clinical Evidence Handbook - American Family Physician

Aug 15, 2008 - What are the effects of treatments for acute diarrhea in adults living in resource-rich countries? What are the effects of treatments for mild-to-moderate traveler's diarrhea in adults from resource-rich countries traveling to resource-poor countries? What are the effects of treatments ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0815/p503.html

Diet and Exercise in the Management of Hyperlipidemia - American Family Physician

May 1, 2010 - Dietary factors that influence lipid levels include modification of nutritional components, consumption of specific foods, use of food additives and supplements, and major dietary approaches. The most beneficial changes result from reducing intake of saturated and trans fats; increasing...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1097.html

Dietary Interventions for Recurrent Abdominal Pain in Childhood - Cochrane for ...

Jan 1, 2018 - Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p19.html

Dietary Management of Epilepsy - Editorials - American Family Physician

Dec 1, 2012 - The safety and effectiveness of the ketogenic diet for the treatment of epilepsy have been known for decades. However, successful implementation of the diet requires an essential commitment by the patient and his or her family. Compliance with the ketogenic diet involves adjustments and...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/1201/p1000.html

Dietary Supplements for Osteoarthritis - American Family Physician

Jan 15, 2008 - A large number of dietary supplements are promoted to patients with osteoarthritis and as many as one third of those patients have used a supplement to treat their condition. Glucosamine-containing supplements are among the most commonly used products for osteoarthritis. Although the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p177.html

Dietary Supplements: How Family Physicians Can Address Safety Concerns by Working with ...

Jan 15, 2016 - Your patients are likely using some type of dietary supplement, whether they tell you or not. What can a physician do to support and protect patients from harm if they choose to use readily available dietary supplements?

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0115/p97.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

Dietary Therapy for Preventing and Treating Coronary Artery Disease - American Family ...

Mar 15, 1998 - Nearly one half of Americans die of cardiovascular disease. The morbidity and mortality associated with coronary artery disease is strongly related to abnormal lipid levels, oxidation of lipids and intra-arterial clot formation. Nutrition powerfully influences each of these factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1299.html

Differences Between the AAFP Atrial Fibrillation Guideline and the AHA/ACC/HRS ...

Sep 1, 2017 - The AAFP updated its guideline on pharmacologic management of newly detected atrial fibrillation, which differs in part from the AHA/ACC/HRS guideline. It specifically highlights two questions commonly faced by family physicians, and is based on updated data from the Agency for ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0901/p284.html

Different Durations of Corticosteroid Therapy for COPD Exacerbations - Cochrane for ...

Mar 1, 2019 - Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p295.html

Digitalis for Treatment of Congestive Heart Failure in Patients in Sinus Rhythm - ...

Jan 1, 2004 - Adding digitalis to treatment with angiotensin-converting enzyme (ACE) inhibitors and diuretics will reduce hospitalization rates and improve clinical status in patients in normal sinus rhythm with left ventricular systolic dysfunction (LVSD) and symptoms of CHF on moderate or mild ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0101/p71.html

Digoxin Therapy for Heart Failure: An Update - American Family Physician

Aug 15, 2006 - Digoxin therapy has long been used to treat heart failure; however, its effectiveness was not completely known until recently. Results of the Digitalis Investigation Group trial showed that adding digoxin to standard heart failure therapy had no effect on mortality. However, adding ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0815/p613.html

Dipeptidyl-peptidase-4 Inhibitors for Treatment of Type 2 Diabetes - Cochrane for ...

Mar 1, 2009 - When used as monotherapy or in conjunction with metformin (Glucophage) or thiazolidinediones, the DPP-4 inhibitor sitagliptin (Januvia) decreases A1C levels by 0.7 percent, but there are no data on patient-oriented outcomes or long-term safety. Until more studies are completed, it ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0301/p372.html

Direct Oral Anticoagulants Preferred Over Warfarin for Nonvalvular Atrial Fibrillation ...

Dec 1, 2018 - The balance of benefits and harms favors direct oral anticoagulants over warfarin (Coumadin) for patients with nonvalvular atrial fibrillation who require anticoagulation and are already taking low-dose aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p683.html

Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...

Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p422.html

Diuretics for Treatment of Patients with Heart Failure? - Cochrane for Clinicians - ...

Aug 1, 2006 - Compared with other active medications, diuretics can improve exercise capacity in patients with heart failure by about 30 percent. Withdrawal of diuretic therapy from patients with heart failure may increase the risk of hospital readmission or death. About eight deaths are prevented ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0801/p411.html

Diverticular Bleeding - American Family Physician

Nov 1, 2009 - Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p977.html

Do Children with Acute Asthma Benefit More from Anticholinergics and Beta2 Agonists ...

Aug 1, 2002 - Children with moderate to severe asthma exacerbations experience improved respiratory function and are less likely to require hospital admission when treated with multiple doses of beta2 agonists combined with anticholinergics. The same benefit has not been proved in children with mild ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0801/p417.html

Do NSAIDs Help in Acute or Chronic Low Back Pain? - Cochrane for Clinicians - American ...

Apr 1, 2002 - Patients can expect a modest improvement in global function with NSAID therapy, such as ibuprofen. There is no evidence that any particular NSAID or combination of medicines has superior efficacy in the treatment of low back pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0401/p1319.html

Do Tympanostomy Tubes for OME Prevent Hearing Loss? - Cochrane for Clinicians - ...

Sep 1, 2005 - In children with typical hearing and language development, immediate placement of tympanostomy tubes for OME does not improve important long-term outcomes compared with a period of watchful waiting and placement of tubes only if there is no improvement.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0901/p807.html

Does a Low-Sodium Diet Reduce Blood Pressure? - FPIN's Clinical Inquiries - American ...

Jan 15, 2004 - Reducing sodium intake does lead to a slightly lower average blood pressure. However, no evidence from controlled trials proves that reducing sodium intake decreases morbidity or mortality, or proves that modest sodium restriction is harmful.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0115/p359.html

Does Lidocaine-Prilocaine Cream (EMLA) Decrease the Pain of Neonatal Circumcision? - ...

Feb 15, 2004 - EMLA cream reduces the pain experienced by newborns during circumcision compared with placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0215/p909.html

Does Limiting Interruptions During Cardiac Resuscitation Improve Outcomes - AFP Journal...

Oct 1, 2008 - Does the ACLS recommendation to limit interruptions during cardiac resuscitation improve outcomes for patients with cardiac arrest? It is a reasonable recommendation, but success rates in this study may be too good to believe.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/1001/p804.html

Does Long-Term Anticoagulation Improve Function After Stroke? - Cochrane for Clinicians...

Jun 1, 2003 - There is no evidence that anticoagulation with either heparin or warfarin improves these outcomes. There is clear evidence of increased hemorrhagic complications (both fatal and nonfatal) in patients who receive anticoagulation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0601/p2317.html

Does Metformin Improve Clinical Features of Polycystic Ovary Syndrome? - Cochrane for ...

Dec 1, 2003 - Metformin therapy improves fasting insulin levels and blood pressure. It has no clinically significant effect on body weight, waist:hip ratio, or LDL cholesterol level. Metformin, taken with or without clomiphene, appears to be an effective first-line agent for ovulation induction in ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/1201/p2163.html

Does Metformin Increase the Risk of Fatal or Nonfatal Lactic Acidosis? - Cochrane for ...

Nov 1, 2010 - In patients without standard contraindications to metformin therapy, metformin does not increase the risk of lactic acidosis.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/1101/p1068.html

Does Pioglitazone Benefit Patients With Type 2 Diabetes? - Cochrane for Clinicians - ...

Oct 1, 2007 - Pioglitazone produces a reduction in A1C levels similar to that produced by other drugs. One trial found that although pioglitazone, used as an adjunct to other antihyperglycemic medications, may lead to a statistically significant reduction in morbidity and mortality in patients with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1001/p969.html

Dog and Cat Bites - American Family Physician

Aug 15, 2014 - Animal bites account for 1% of all emergency department visits in the United States and more than $50 million in health care costs per year. Most animal bites are from a dog, usually one known to the victim. Most dog bite victims are children. Bite wounds should be cleaned, copiously ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0815/p239.html

Donepezil in the Treatment of Vascular Dementia - Cochrane for Clinicians - American ...

Nov 1, 2004 - Donepezil in a dosage of 10 mg daily provides a small benefit in patients with mild to moderate vascular dementia and generally is well tolerated.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1101/p1681.html

Donepezil to Manage Alzheimer Disease: New vs. Standard Dosing - AFP Journal Club - ...

Mar 15, 2011 - Does donepezil benefit patients with Alzheimer disease, and is the new dosage superior to the standard dosage? This study showed benefit, but the data are misleading.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0315/p742.html

Dopamine Agonists for Early Parkinson Disease - Cochrane for Clinicians - American ...

Jul 1, 2009 - Dopamine agonists, such as pramipexole (Mirapex), ropinirole (Requip), pergolide (formerly Permax), and apomorphine (Apokyn), improve the motor fluctuations and dyskinesias that commonly occur with levodopa, but at the expense of increasing nonmotor adverse effects and noncompliance. An...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0701/p28.html

Double-Ligature: A Treatment for Pedunculated Umbilical Granulomas in Children - ...

May 15, 2002 - Umbilical granulomas are common inflammatory reactions to the resolving umbilical stump. The double-ligature technique is simple to perform and provides good cosmetic and functional results with only minor complications. The granuloma becomes necrotic and drops off within seven to 14 ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2067.html

Doxepin (Silenor) for Insomnia - STEPS - American Family Physician

Aug 15, 2011 - In older patients with primary insomnia, Silenor can increase duration of sleep without next-day effects. However, it does not significantly decrease the time to sleep onset, and it is less effective in younger adults.

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0815/p453.html

DPP-4 Inhibitors and GLP-1 Receptor Agonists for Prevention or Delay of Type 2 Diabetes...

Apr 1, 2018 - There is only limited-quality evidence that at-risk patients taking GLP-1 receptor agonists are less likely to progress to diabetes (number needed to treat [NNT] = 23). Serious adverse events were more likely in patients taking GLP-1 receptor agonists than in patients taking placebo ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0401/p437.html

Drug Dosing Adjustments in Patients with Chronic Kidney Disease - American Family ...

May 15, 2007 - Chronic kidney disease affects renal drug elimination and other pharmacokinetic processes involved in drug disposition (e.g., absorption, drug distribution, nonrenal clearance [metabolism]). Drug dosing errors are common in patients with renal impairment and can cause adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0515/p1487.html

Drug Price Gouging: When Will it End? - Editorials - American Family Physician

Jul 1, 2017 - Price gouging will end only when the structural elements responsible for the unchecked costs of drugs are addressed in a systematic way.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0701/p20.html

Drug Therapy for Obesity - American Family Physician

Apr 1, 2000 - Obesity is a common health problem in the United States, and effective treatment is challenging. Obesity is associated with an increased mortality rate and risk factors such as hypertension, hyperlipidemia and diabetes mellitus. Numerous treatments are available for obesity. Behavioral ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2131.html

Drug Treatment for URIs: Back to the Drawing Board - Editorials - American Family ...

Oct 1, 1998 - Advertisement << Previous article Next article >> Oct 1, 1998 Issue Editorials Drug Treatment for URIs: Back to the Drawing Board CAROLINE WELLBERY, M.D., Georgetown University School of Medicine, Washington, D.C. Am Fam Physician. 1998 Oct 1;58(5):1066-1068. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1001/p1066.html

Drug Treatment of Common STDs: Part I. Herpes, Syphilis, Urethritis, Chlamydia and ...

Oct 1, 1999 - In 1998, the Centers for Disease Control and Prevention released guidelines for the treatment of sexually transmitted diseases. Several treatment advances have been made since the previous guidelines were published. Part I of this two-part article describes current recommendations for ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1387.html

Drug Treatment of Common STDs: Part II. Vaginal Infections, Pelvic Inflammatory Disease...

Oct 15, 1999 - The Centers for Disease Control and Prevention (CDC) released new guidelines for the treatment of sexually transmitted diseases (STDs) in 1998. Several treatment advances have been made since the previous guidelines were published. Part II of this two-part series on STDs describes ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1716.html

Drug Treatments for Patients with Dysthymia - Cochrane for Clinicians - American Family...

Oct 1, 2004 - All antidepressants studied have similar efficacy in the treatment of patients with dysthymia. Side effect profiles vary. The largest comparisons support the use of tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1001/p1269.html

Drug Treatments for Polycystic Ovary Syndrome - American Family Physician

Apr 15, 2009 - Polycystic ovary syndrome is a condition present in approximately 5 to 10 percent of women of childbearing age. Diagnosis can be difficult because the signs and symptoms can be subtle and varied. These may include hirsutism, infertility, menstrual irregularities, and biochemical ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p671.html

Drug-Eluting Coronary Artery Stents - American Family Physician

Dec 1, 2009 - Many advances have been made in the percutaneous treatment of coronary artery disease during the past 30 years. Although balloon angioplasty alone is still performed, the use of coronary artery stents is much more common. Approximately 40 percent of patients treated with balloon ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1245.html

Drug-Induced Nephrotoxicity - American Family Physician

Sep 15, 2008 - Drugs are a common source of acute kidney injury. Compared with 30 years ago, the average patient today is older, has more comorbidities, and is exposed to more diagnostic and therapeutic procedures with the potential to harm kidney function. Drugs shown to cause nephrotoxicity exert ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p743.html

Drugs for Chronic Idiopathic Constipation Are Similarly Effective - POEMs - American ...

Jun 15, 2018 - If nondrug measures are unsuccessful for chronic idiopathic constipation, the choice of a pharmacologic agent should be based on cost, tolerability, and long-term adherence rather than efficacy, because the efficacy is similar among drugs and drug classes.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0615/p819a.html

Drugs for Conversion of Atrial Fibrillation - American Family Physician

Aug 1, 1998 - Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p471.html

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...

Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0915/p378.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Dulaglutide (Trulicity) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Oct 15, 2017 - Dulaglutide is an easy-to-use, once-weekly injectable therapy for the treatment of type 2 diabetes in adults. It produces a modest decrease in A1C levels with only a small risk of severe hypoglycemia. The small average weight loss it induces may be an advantage for some patients.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/1015/p540.html

Duloxetine (Cymbalta) for Treatment of Major Depressive Disorder - STEPS - American ...

Sep 15, 2005 - Duloxetine is safe and effective for the treatment of major depressive disorder. Because of its expense and the lack of data supporting its superiority over other antidepressants, it should be used as an alternative if other agents are ineffective or are not tolerated.

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0915/p1099.html

Duration of Bisphosphonate Therapy - FPIN's Help Desk Answers - American Family Physician

Apr 1, 2018 - Oral bisphosphonates significantly reduce clinical fracture risk at four years in women with postmenopausal osteoporosis (T-score less than −2.5). Treatment beyond five years is associated with further reductions in fractures in women with persistent femoral neck T-scores less than −2.5.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od1.html

Dutasteride/Tamsulosin (Jalyn) for Benign Prostatic Hyperplasia - STEPS - American ...

Jun 15, 2012 - Jalyn offers the convenience of taking one medication instead of two. Although monotherapy with dutasteride or tamsulosin is beneficial for many men, the combination drug is slightly better than either component alone at decreasing symptom scores; however, these benefits are of ...

American Family Physician : STEPS

https://www.aafp.org/afp/2012/0615/p1194.html

DVT and Pulmonary Embolism: Part II. Treatment and Prevention - American Family Physician

Jun 15, 2004 - Treatment goals for deep venous thrombosis include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of pulmonary embolism, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. About 30 ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2841.html

Dysmenorrhea - American Family Physician

Jan 15, 2005 - Dysmenorrhea is the leading cause of recurrent short-term school absence in adolescent girls and a common problem in women of reproductive age. Risk factors for dysmenorrhea include nulliparity, heavy menstrual flow, smoking, and depression. Empiric therapy can be initiated based on a ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p285.html

Dysmenorrhea - Clinical Evidence Handbook - American Family Physician

Feb 15, 2012 - What are the effects of treatments for primary dysmenorrhea?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0215/p386.html

Dysphonia (Hoarseness): AAO-HNSF Releases Updated Clinical Guideline for Treatment - ...

Nov 15, 2018 - To improve the quality of care for patients of all ages with dysphonia, the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) updated guidelines to reduce inappropriate variations in care, produce optimal health outcomes, and minimize harm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1115/p606.html

Dyspnea Due to Acute Heart Failure Syndrome - Medicine by the Numbers - American Family...

Feb 1, 2019 - This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0201/od1.html

Dystocia in Nulliparous Women - American Family Physician

Jun 1, 2007 - Dystocia is common in nulliparous women and is responsible for more than 50 percent of primary cesarean deliveries. Because cesarean delivery rates continue to rise, physicians providing maternity care should be skilled in the diagnosis, management, and prevention of dystocia. If labor ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0601/p1671.html

e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in ...

Oct 1, 2019 - Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p442.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.html

Early Developmental Intervention Programs for Preterm Infants - Cochrane for Clinicians...

Mar 1, 2014 - Early intervention programs improve cognitive performance in preterm infants up to 36 months of age, but no effect can be detected by five years of age. A small effect of early intervention on motor performance was found in infancy, but it did not persist until preschool or school age.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0301/p336.html

Early Invasive Management of Acute Coronary Syndromes - Medicine by the Numbers - ...

Dec 1, 2018 - Does early invasive management help patients with unstable angina or acute non–ST-segment elevation myocardial infarction (NSTEMI) in reducing occurence of death, myocardial infarction, angina symptoms, and rehospitalization at six- to 12-month follow-up? Find out.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1201/od1.html

Early Invasive Therapy or Conservative Management for Unstable Angina or NSTEMI? - ...

Jan 1, 2007 - Compared with conservative management, early invasive treatment of patients with UA or NSTEMI using coronary angiography with or without revascularization reduces rehospitalization and refractory angina within the first year and significantly reduces mortality and myocardial infarction ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0101/p47.html

Early PT for Acute Low Back Pain Is Cost-Effective, but Gain in Quality of Life Is ...

Apr 1, 2018 - At $30,000 per quality-adjusted life year (QALY) gained, early PT for acute low back pain in primary care is cost-effective by the usual criteria of $50,000 to $100,000 per QALY. However, the magnitude of improvement in quality of life is small and is probably not clinically meaningful.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0401/p475.html

Echinacea - American Family Physician

Jan 1, 2003 - Echinacea is the name of a genus of native North American plants, commonly known as the purple coneflower. The most widely used herbal product in the United States is a liquid extract made from the root of Echinacea purpurea. Because the active component of the plant has not been ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p77.html

Editorials - Jun 15, 2009 - American Family Physician

Jun 15, 2009 - Advertisement << Previous article Next article >> Jun 15, 2009 Issue Editorials Floppy Iris Syndrome: Why BPH Treatment Can Complicate Cataract Surgery DAVID F. CHANG, MD, University of California, San Francisco, California Am Fam Physician. 2009 Jun 15;79(12):1051-1056. Discovering...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0615/p1051a.html

Editorials - Jun 15, 2009 - American Family Physician

Jun 15, 2009 - Advertisement << Previous article Next article >> Jun 15, 2009 Issue Editorials 2008 World Health Report Emphasizes Importance of Primary Health Care MARC RIVO, MD, MPH, Prestige Health Choice and Health Choice Network, Miami, Florida Am Fam Physician. 2009 Jun 15;79(12):1051. The...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0615/p1051.html

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