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Care of the Military Veteran: Selected Health Issues - American Family Physician

Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p544.html

Stuttering: Understanding and Treating a Common Disability - American Family Physician

Nov 1, 2019 - Childhood-onset fluency disorder, the most common form of stuttering, is a neurologic disability resulting from an underlying brain abnormality that causes disfluent speech. Stuttering can lead to significant secondary effects, including negative self-perception and negative perception ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p556.html

Adults with Developmental Disabilities: A Comprehensive Approach to Medical Care - ...

May 15, 2018 - Developmental disabilities are attributable to a cognitive impairment, physical impairment, or both. They manifest during the developmental period from birth to early adulthood, and are likely to continue indefinitely. The life expectancy of most persons with developmental disabilities ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0515/p649.html

Caring for Latino Patients - American Family Physician

Jan 1, 2013 - Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. Barriers to care have resulted in striking disparities in ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0101/p48.html

Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know - ...

Dec 1, 2018 - Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria (i.e., distress related to this incongruence) and often face substantial health care disparities and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1201/p645.html

Care of Special Populations - American Family Physician

Nov 1, 2019 - This collection features AFP content on the care of special populations and related issues, including ethnic minorities; gay, lesbian, bisexual, and transgendered persons; homeless and uninsured persons; and mentally retarded persons. This collection features AFP content on the care of ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=45

Appropriate Use of Medical Interpreters - American Family Physician

Oct 1, 2014 - More than 25 million Americans speak English less than very well, according to the U.S. Census Bureau. This population is less able to access health care and is at higher risk of adverse outcomes such as drug complications and decreased patient satisfaction. Title VI of the Civil Rights...

American Family Physician : Article

https://www.aafp.org/afp/2014/1001/p476.html

Caregiver Care - American Family Physician

Jun 1, 2019 - Eighty percent of adults requiring long-term care currently live at home in the community, and unpaid family caregivers provide 90% of their care. Family caregivers serve as a critical extension of the U.S. health care system, and the demand for family caregivers is expected to increase...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p699.html

Care of Incarcerated Patients - American Family Physician

Nov 15, 2018 - The United States has the highest incarceration rate of any nation in the world. Approximately 870 of every 100,000 U.S. citizens are currently in jails or prisons. U.S. inmates are disproportionately young males, racial and ethnic minorities, and persons of low socioeconomic status. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1115/p577.html

Primary Care for Refugees: Challenges and Opportunities - American Family Physician

Jul 15, 2017 - Since 1975, more than 3 million refugees have settled in the United States, fleeing unrest, conflict, and persecution. Refugees represent diverse ethnic, cultural, religious, socioeconomic, and educational backgrounds. Despite this heterogeneity, there are commonalities in the refugee ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0715/p112.html

Preventive Health Care for Women Who Have Sex with Women - American Family Physician

Mar 1, 2017 - Despite recent shifts in societal attitudes toward same-sex relationships, women who have sex with women face a variety of barriers to optimal health, including a history of negatively perceived interactions in clinical settings that lead them to delay or avoid health care. Women who ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0301/p314.html

Care of the Homeless: An Overview - American Family Physician

Apr 15, 2014 - Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p634.html

Preventive Health Care for Men Who Have Sex with Men - American Family Physician

Jun 15, 2015 - Men who have sex with men (MSM) comprise at least 4% of males in the United States. MSM may describe themselves as gay, bisexual, or heterosexual. Because current medical practice does not always facilitate discussion of sexual behaviors, this group of men may face barriers to receiving...

American Family Physician : Article

https://www.aafp.org/afp/2015/0615/p844.html

Primary Care for Refugees - American Family Physician

Feb 15, 2011 - Over the past decade, at least 600,000 refugees from more than 60 different countries have been resettled in the United States. The personal history of a refugee is often marked by physical and emotional trauma. Although refugees come from many different countries and cultures, their ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p429.html

Military Health History: Resources for Use at the Point of Care - Editorials - American...

Nov 1, 2019 - Many clinicians outside of the VA or military are unaware of the importance of specific aspects of the military health history. The clinical expertise of health care professionals in the VA and military health systems can be leveraged to expand training opportunities.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1101/p523.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

Social Determinants of Health: Family Physicians’ Leadership Role - Editorials - ...

Apr 15, 2019 - Family physicians can be early adopters of SDOH tools and models for practice, and they can advocate for use of these tools across systems of care.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0415/p476.html

The Responsibility of Family Physicians to Our Transgender Patients - Editorials - ...

Dec 1, 2018 - To mitigate the health disparities experienced by transgender persons, family physicians must use the resources available to take the lead in meeting the medical and social needs of these patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1201/p635.html

Practical Considerations of Caring for Patients Abroad During Short-term Medical Trips ...

Dec 1, 2018 - A 65-year-old woman presented on the second day of my week-long volunteer medical brigade to a migrant camp in Mexico. The patient had a blood pressure of 180/110 mm Hg and a heart rate of 78 beats per minute. Her presenting symptoms were itchy eyes and sneezing, which she reported were...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/1201/p673.html

Culture-Specific Asthma Education Programs for Minority Groups - Cochrane for ...

Nov 1, 2018 - In children from minority groups, culture-specific asthma education programs (CAEPs) reduce the number of severe asthma exacerbations requiring hospitalization and improve asthma control as measured by the Childhood Asthma Control Test but not the Asthma Control Questionnaire. CAEPs ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1101/p572.html

Gender-Dysphoric/Gender-Incongruent Persons: Treatment Recommendations from the ...

May 1, 2018 - Gender-dysphoric/gender-incongruent persons require a safe and effective hormone regimen. These recommendations are an update to the clinical practice guideline on endocrine treatment of transsexual persons published in 2009 by the Endocrine Society.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0501/p608.html

Female Genital Mutilation or Cutting - Curbside Consultation - American Family Physician

Jan 1, 2018 - FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0101/p49.html

Cross-Cultural Medicine - American Family Physician

Dec 1, 2005 - Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural interview should ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2267.html

Patients with Disabilities: Avoiding Unconscious Bias When Discussing Goals of Care - ...

Aug 1, 2017 - False assumptions about patients' quality of life can affect prognosis, the treatment options that we present, and the types of referrals that we offer. In this case, the physician equated complex disability with terminal illness.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/0801/p192.html

Refugee Mental Health: A Primary Care Approach - Editorials - American Family Physician

Jul 15, 2017 - A review of the refugee resettlement process and the clinical aspects of caring for patients who have experienced war, conflict, violence, and threats.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0715/p81.html

Addressing the Needs of LGBT Patients - Editorials - American Family Physician

Mar 1, 2017 - Negative interactions with the health care system are a major barrier to medical care for women who have sex with women. Clinicians should train office staff about health concerns unique to LGBT communities and the importance of maintaining confidentiality about sexual orientation and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0301/p286.html

Medical Care of Adults with Intellectual and Developmental Disabilities - American ...

Jun 15, 2006 - Persons with mental retardation are living longer and integrating into their communities. Primary medical care of persons with mental retardation should involve continuity of care, maintenance of comprehensive treatment documentation, routine periodic health screening, and an ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0615/p2175.html

Challenges and Opportunities in the Care of Asian American Patients - Curbside ...

Oct 1, 2014 - In cases such as this, patients are often told, You don't need treatment now, but they only hear, You are fine. Subsequent failure to follow up may result from a combination of issues related to health literacy, educational attainment, linguistic barriers, and cultural differences.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/1001/p490.html

Cultural Diversity at the End of Life: Issues and Guidelines for Family Physicians - ...

Feb 1, 2005 - Ethnic minorities currently compose approximately one third of the population of the United States. The U.S. model of health care, which values autonomy in medical decision making, is not easily applied to members of some racial or ethnic groups. Cultural factors strongly influence ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p515.html

The Homeless in America: Adapting Your Practice - American Family Physician

Oct 1, 2006 - In 2004, the National Guidelines Clearinghouse placed eight guidelines from the National Health Care for the Homeless Council on its Web site. Seven of the guidelines are on specific disease processes and one is on general care. In addition to straightforward clinical decision making, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1001/p1132.html

Evaluation of Behavior Change in Patients with Developmental Disabilities - Curbside ...

Apr 15, 2016 - A mother brought her 19-year-old nonverbal, autistic son to our clinic. She requested medication for him to reduce the number of episodes that include loud vocalizations, thrashing, and head banging. These episodes usually occur in the car. At baseline, the man has difficulty with ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0415/p686.html

Primary Care for Lesbians and Bisexual Women - American Family Physician

Jul 15, 2006 - For the most part, lesbians and bisexual women face the same health issues as heterosexual women, but they often have difficulty accessing appropriate care. Physicians can improve care for lesbians and bisexual women by acknowledging the potential barriers to care (e.g., hesitancy of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p279.html

Care of a Transgender Adolescent - Curbside Consultation - American Family Physician

Jul 15, 2015 - Although the actual number may be higher, research estimates that approximately 700,000 Americans are transgender. Many in this population have inadequate insurance to cover appropriate health care. Primary care clinicians treat transgender patients in their practices, and although not ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0715/p142.html

Cultural Competence Education for Health Care Professionals - Cochrane for Clinicians -...

Apr 15, 2015 - Low-quality evidence suggests that training health care professionals in patient-centered communication improves the engagement of patients from culturally and linguistically diverse backgrounds in their health care. Interventions that were primarily educational appeared to be ineffective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0415/p523.html

Caring for Muslim Patients Who Fast During Ramadan - Curbside Consultation - American ...

May 1, 2015 - A 68-year-old Muslim man who was recently diagnosed with type 2 diabetes mellitus presented for a routine health visit. His initial A1C level was 8.2%, which decreased to 6.7% after dietary changes, exercise, and treatment with metformin (Glucophage). He stated that he wanted to fast ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0501/p640.html

Health Care Screening for Men Who Have Sex with Men - American Family Physician

May 1, 2004 - Men who have sex with men often do not reveal their sexual practices or sexual orientation to their physician. Lack of disclosure from the patient, discomfort or inadequate training of the physician, perceived or real hostility from medical staff, and insufficient screening guidelines ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2149.html

Updated Recommendations from the World Professional Association for Transgender Health ...

Jan 15, 2013 - The health care of transgender persons has begun moving out of the shadows and into the spotlight; as transgender health care moves into the mainstream, primary care physicians will be increasingly called upon to provide compassionate and individualized care to this diverse community.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0115/p89.html

Medical Care for Immigrants and Refugees - American Family Physician

Mar 1, 1998 - Refugees and other immigrants often present with clinical problems that are as varied as their previous experiences. Clinical presentations may range from unusual infectious diseases to problems with transition. This article describes medical conditions associated with immigrants, as ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0301/p1061.html

Recognizing Mental Illness in Culture-bound Syndromes - Curbside Consultation - ...

Jan 15, 2010 - Somatic symptoms often replace emotional complaints in foreign-born students from cultures where mental illness is stigmatized.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0115/p206.html

Communicating Effectively with Transgender Patients - Curbside Consultation - American ...

Sep 1, 2008 - Transgender persons are those who consider their gender to be different from their biological sex. Hence, a male-to-female person is a biologic male who identifies as a female, and a female-to-male person is a biologic female who identifies as male.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0901/p648.html

AAP Releases Guidelines on Clinical Evaluation of the Child with Mental Retardation or ...

Feb 1, 2007 - The American Academy of Pediatrics (AAP) has published guidelines on the clinical evaluation of children with developmental delays or mental retardation. Family physicians play a major role in the early recognition and referral of children with possible developmental problems.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0201/p419.html

Practice Guidelines - Sep 1, 2005 - American Family Physician

Sep 1, 2005 - The Centers for Disease Control and Prevention (CDC) has released new data on trends for human immunodeficiencognizedy virus (HIV) testing among men who have sex with men.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0901/p951.html

Practice Guidelines - Sep 1, 2005 - American Family Physician

Sep 1, 2005 - Continued exposure to ambient heat that is close to body temperature contributes to a significant number of deaths from hyperthermia, especially among older adults. The Centers for Disease Control and Prevention (CDC) has released updated statistics on the rates of hyperthermia and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0901/p951a.html

Lymphogranuloma Venereum Among Men Who Have Sex With Men - Practice Guidelines - ...

Mar 15, 2005 - Lymphogranuloma venereum (LGV) is a systemic, sexually transmitted disease (STD) caused by a variety of the bacterium Chlamydia trachomatis. A report on LGV is available from the Centers for Disease Control and Prevention (CDC).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0315/p1222.html

Health Care for the Homeless in America - Editorials - American Family Physician

Oct 1, 2006 - Advertisement << Previous article Next article >> Oct 1, 2006 Issue Editorials Health Care for the Homeless in America BECHARA CHOUCAIR, M.D., Heartland Health Outreach, Inc., Chicago, Illinois Am Fam Physician. 2006 Oct 1;74(7):1099-1100. Related Article In this issue of American...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1001/p1099.html

Transgender Care Resources for Family Physicians - Editorials - American Family Physician

Sep 15, 2006 - Advertisement << Previous article Next article >> Sep 15, 2006 Issue Editorial Transgender Care Resources for Family Physicians ANNE M. PROULX, D.O., SHERRI L. MORGAN, M.D., M.P.H., and GORDON S. WALBROEHL, M.D., Wright State University School of Medicine, Dayton, Ohio Am Fam...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0915/p924.html

Using Medical Interpreters - Curbside Consultation - American Family Physician

Jun 1, 2004 - Many physicians are facing a similar dilemma because the Hispanic population is growing rapidly, and Spanish is the preferred language for many Hispanic people. The use of interpreters is a multifaceted issue.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0601/p2720.html

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