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Medicine by the numbers

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Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...

Nov 15, 2019 - ...women for other conditions, such as migraines and mood disorders. I expect that the absolute number of patients who are taking these drugs while taking OCPs is probably a lot less than the number who might be prescribed an antibiotic while taking warfarin (Coumadin), for example....

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p599.html

Thessaly vs. McMurray Test for Diagnosis of Meniscal Injuries - Letters to the Editor -...

Aug 15, 2019 - ...Abell BE, Gibson TW. The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med. 2009;19(1):9–12. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue,...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0815/p200.html

Personal Experience Is Not Always Consistent with Published Evidence - Letters to the ...

Jul 15, 2019 - ...to add. For those who have been in medicine long enough to see evidence-based processes be proved wrong with follow-up studies, it is hard to jump on board a change that one's experience also has shown to be false. The good news is that medicine continues to grow and change, and...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p73.html

Use of More Specific Terminology May Assist in Better Diagnosis of Abdominal Wall ...

Jun 15, 2019 - ...Based on this premise, the Family Medicine Education Consortium's Interventions to Minimize Preterm and Low Birthweight Infants through Continuous Quality Improvement Techniques Network (www.fmec.net/implicit) developed a proactive approach to interconception care. As a quality...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0615/p731.html

Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p143.html

Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture - Letters to ...

Sep 1, 2018 - ...hospital, family physicians take obstetric calls alongside obstetricians, midwives, anesthesiologists, and teams of obstetric and family medicine residents. We present a case that demonstrates how this collaborative, multidisciplinary model provides effective care in obstetric...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0901/p272.html

The Need for Systems of Care and a Trauma-Informed Approach to Intimate Partner ...

Jun 1, 2018 - ...In Reply: We appreciate Drs. Cronholm and Dichter's response to our IPV update. Many family medicine practices have embraced a team-based approach, in which physicians are able to focus their time and energy on addressing the complex ways trauma affects patients' health and on...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0601/ol1.html

Acupuncture Is Ineffective for Treatment of Low Back Pain - Letters to the Editor - ...

Dec 15, 2017 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1215/ol2.html

Effects of Contraceptives on Weight Gain or Loss - Letters to the Editor - American ...

Dec 15, 2017 - ...indications, making generalizations about their effects difficult. Our characterization of these medications was taken from the Obesity Medicine Association's obesity algorithm, which has been updated recently to include potential weight gain with progestins.1 I agree that the cited...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1215/ol1.html

Potential Benefits of L-Carnitine as Dietary Supplement - Letters to the Editor - ...

Dec 1, 2017 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1201/ol1.html

Selecting POEMs Studies from the Larger Body of Evidence - Letters to the Editor - ...

Nov 1, 2017 - ...applaud the main intent of this article: using current evidence to critically assess testing and treatments for common conditions in family medicine. I am a fan of the daily POEMs (patient-oriented evidence that matters) series, and I regularly distribute them to my residents. I...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1101/p565.html

Current Prostate Cancer Screening Guidelines May Lead to More Deaths from the Disease -...

Sep 15, 2016 - ...it is estimated that more than 1,200 more men will eventually die from prostate cancer because they have not been screened.2,3 Maybe that number is not high enough for researchers to be concerned, but it concerns me and my patients. I have no doubt that once deaths from prostate...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0915/p414.html

Hyperbaric Oxygen Therapy for Radiation Cystitis - Letters to the Editor - American ...

Sep 15, 2016 - ...or transfusion. Radiation cystitis is one of the most common diseases I treat as medical director of a hospital-based hyperbaric medicine facility. A retrospective review of 60 patients who received an average of 33 hyperbaric oxygen therapy (HBOT) treatments showed that 80% of...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0915/p418.html

Choosing Tap Water vs. Sterile Saline for Wound Irrigation - Letters to the Editor - ...

Jul 15, 2016 - ...Saline for Wound Irrigation [Medicine by the Numbers] Issue Date: August 1, 2015 Available online at: https://www.aafp.org/afp/2015/0801/od1.html Original Article: Tap Water vs. Sterile Saline for Wound Irrigation [Medicine by the Numbers] Issue Date: August 1, 2015...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0715/p83.html

Foods Containing Saturated Fat: Dietary Limits Are Still Essential - Letters to the ...

Mar 15, 2016 - ...to the editor: Lesser and colleagues should be commended for addressing nutrition, an often neglected subject in family medicine. However, I question the assertion that consuming whole foods containing saturated fat is inversely associated with incident cardiovascular disease and...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0315/p438.html

Increasing Potassium Intake May Help Mitigate Cardiovascular Risk - Letters to the ...

Sep 15, 2015 - ...Persons at risk of hyperkalemia, such as those who have chronic kidney disease or take medicines that inhibit the renin-angiotensin-aldosterone system, should use caution in increasing their dietary potassium intake. However, for other patients with hypertension, increasing dietary...

American Family Physician : Letter

https://www.aafp.org/afp/2015/0915/p430.html

Physicians Must Be Vigilant for Sex Trafficking in Unaccompanied Minors - Letters to ...

May 15, 2015 - ...National Center for Missing and Exploited Children conservatively estimates at least 100,000 children are exploited by DMST each year.5 Such numbers represent many missed opportunities to identify, care for, and potentially assist in freeing minors from this form of slavery. Family...

American Family Physician : Letter

https://www.aafp.org/afp/2015/0515/p674.html

Pharmacologic Options for the Treatment of Chronic Daily Headache - Letters to the ...

Dec 15, 2014 - ...overuse headaches.2 As a result, the American Academy of Neurology (AAN), the American Headache Society, and the American Board of Internal Medicine (in its Choosing Wisely campaign) recommend avoiding its use as a first-line agent for the treatment of headaches.3 The list of...

American Family Physician : Letter

https://www.aafp.org/afp/2014/1215/p818.html

NPs, Shorter Training Needed to Fix Workforce Shortage in Primary Care - Letters to the...

Jan 15, 2014 - ...The Institute of Medicine supports the idea of NPs providing aspects of primary care within the scope of their training and education.1 Furthermore, the National Committee for Quality Assurance recognizes patient-centered medical homes that are led by NPs.2 The increasing burden of...

American Family Physician : Letter

https://www.aafp.org/afp/2014/0115/p74.html

Case Report: Risk of Uterine Perforation from IUDs Is Greatest During Postpartum Period...

Nov 15, 2013 - ...A 31-year-old woman (two pregnancies, one full-term delivery, one miscarriage, one living child) presented to a family medicine clinic 12 months after insertion of a levonorgestrel-releasing IUD with frequent, irregular, and increasingly heavy menstrual bleeding. She requested that...

American Family Physician : Letter

https://www.aafp.org/afp/2013/1115/p634.html

Osteopath Is Incorrect Term for Osteopathic Physicians - Letters to the Editor - ...

Aug 15, 2013 - ...term for these physicians is doctor of osteopathic medicine. Physicians with doctor of osteopathic medicine (DO) degrees are fully credentialed, U.S.-trained physicians who undergo equivalent training as those with doctor of medicine (MD) degrees, but also learn a form of manual...

American Family Physician : Letter

https://www.aafp.org/afp/2013/0815/p222.html

Physicians Need More Education About Natural Family Planning - Letters to the Editor - ...

Aug 1, 2013 - ...that only one-half of physicians would provide information about NFP to patients who wish to prevent pregnancy. Our survey of 120 family medicine residency programs found that more than one-half of women's health faculty members were not familiar with modern methods of NFP, and 25%...

American Family Physician : Letter

https://www.aafp.org/afp/2013/0801/p158.html

Homeopathic Remedies for Treatment of the Common Cold - Letters to the Editor - ...

Jan 1, 2013 - ...to the editor: This article does not mention homeopathy as a complementary and alternative medicine treatment for the common cold. In fact, there is evidence suggesting that homeopathy could be useful for this condition. Complex homeopathic remedies have shown effectiveness for the...

American Family Physician : Letter

https://www.aafp.org/afp/2013/0101/p7.html

Qualitative Benefits of Screening for Intimate Partner Violence - Letters to the Editor...

May 15, 2012 - ...An important supplement to the USPSTF guidelineswas recently published by the Institute of Medicine(IOM). The U.S. Department of Health and HumanServices commissioned the IOM to review health servicesthat should be considered in the development ofcomprehensive guidelines for...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0515/ol2.html

Responses to Article Regarding a Diagnostic Approach to Pruritus - Letters to the ...

May 1, 2012 - ...With 36 years of family medicine experience, I have found the most common cause of pruritus is soap. I am convinced that in the United States, soap causes more people to go to the doctor than the lack of it. Soap takes the natural oils out of the skin, causing itching. Some people...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0501/ol1.html

Clarification Regarding Epidemiologic Concepts - Letters to the Editor - American ...

May 1, 2012 - ...clinical epidemiology, see our glossary of terms used in evidence-based medicine at https://www.aafp.org/journals/afp/authors/ebm-toolkit/glossary.html. This is one of several features in our Evidence-Based Medicine Toolkit available at https://www.aafp.org/afp/ebmtoolkit. The...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0501/p847.html

Counseling Women on Options for Management of Early Pregnancy Loss - Letters to the ...

Mar 15, 2012 - ...We find that with this counseling nearly all women elect to stay within the family medicine office because this allows them to have a support person of their choosing with them throughout the procedure, and provides them the comfort and convenience of remaining in a familiar setting...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0315/p547.html

Responses to Article on Benefits of Slowing Global Warming - Letters to the Editor - ...

Mar 1, 2012 - ...grade.2 It disturbs me greatly that my Academy would publish an article with this low quality of evidence and pass it off as clinical medicine. JOHN SEALANDER, MD Madison, Va. E-mail: Dux4susi@aol.com Author disclosure: No relevant financial affiliations to disclose. to the editor:...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0301/p427.html

The Virtuous Cycle - Letters to the Editor - American Family Physician

Dec 15, 2011 - ...drops precipitously. Thus, the virtuous cycle: greater safety for pedestrians and cyclists increases their numbers, which makes it safer, which in turn increases the number of cyclists, which makes it safer, and so on. So, we can continue to harangue our patients about exercise and...

American Family Physician : Letter

https://www.aafp.org/afp/2011/1215/p1328.html

Fluoride Is an Essential Element of Childhood Oral Health - Letters to the Editor - ...

Nov 1, 2011 - ...for oral health maintenance may be difficult for some practicing physicians without additional training. The Society of Teachers of Family Medicine Group on Oral Health has created a seven-module oral health training program, which is available at http...

American Family Physician : Letter

https://www.aafp.org/afp/2011/1101/p968.html

Testing for and Treating the Underlying Causes of Dyspepsia - Letters to the Editor - ...

Oct 15, 2011 - ...E-mail: loyd@medicine.tamhsc.edu Author disclosure: No relevant financial affiliations to disclose. REFERENCE 1. Moshiree B, McDonald R, Hou W, Toskes PP. Comparison of the effect of azithromycin versus erythromycin on antroduodenal pressure profiles of patients with chronic...

American Family Physician : Letter

https://www.aafp.org/afp/2011/1015/p853.html

Ultrasensitive Culture in Urinary Tract Infection Diagnosis - Letters to the Editor - ...

Aug 1, 2011 - ...the performance and reporting of urine cultures in microbiology laboratories. The final reported CFU per mL essentially represents the number of bacterial colonies observed on culture plates, multiplied by the level of dilution from the original sample to obtain a standard reporting...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0801/p250.html

Pharmacotherapy Options for Weight Loss and Maintenance - Letters to the Editor - ...

Jul 15, 2011 - ...Primary care medicine has fostered a bias against the treatment of obesity, and the article in AFP perpetuates such a bias. Although there are numerous drugs available for the treatment of obesity, the article mentions only two: orlistat (Xenical) and sibutramine (Meridia). Since...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0715/p149.html

Screening Questionnaire for Work-Related Health Problems - Letters to the Editor - ...

Jun 1, 2011 - ...responding to a grant from the U.S. Department of Energy, the seven family medicine programs in South Carolina cooperated to produce a curriculum to teach environmental and occupational medicine to family medicine residents.1,2 We created a set of five questions that physicians can...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0601/p1247.html

Should Carotid Artery Stenosis Be Examined as a Cause of Dizziness? - Letters to the ...

Apr 15, 2011 - ...in reply: We appreciate Dr. Gillett's thoughtful comments and interest in our article. His points further emphasize that the practice of medicine requires making decisions based on the individual patient. His concerns about unnecessary testing are not unfounded, especially with the...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0415/p879.html

Case Report: Colonoscopy-Associated Splenic Injury in a 56-Year-Old Woman - Letters to ...

Apr 1, 2011 - ...faslinia@medicine.umaryland.edu ERIK C. VON ROSENVINGE, MD Baltimore, Md. Author disclosure: Nothing to disclose. Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0401/p786.html

Screening Recommendations Are Not Always One Size Fits All - Letters to the Editor - ...

Mar 1, 2011 - ...dollars to order two blood tests for every child on Medicaid, regardless of his or her risk? How is this practicing good, evidence-based medicine? My practice remains the same, despite Medicaid laws and the CDC's recommendations. I ask the child's parents or guardians about sources...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0301/p507.html

Magnesium Sulfate in Women with Threatened Preterm Birth - Letters to the Editor - ...

Dec 1, 2010 - ...preterm labor. A recent committee opinion from the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine (ACOG/SMFM)1 also gives tentative support for the use of magnesium sulfate for fetal neuroprotection in preterm labor. I agree with the...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1201/p1310.html

Quality of Life After LASIK: The Picture Remains Hazy - Letters to the Editor - ...

Nov 1, 2010 - ...disagree. In particular, dry eye seems to be common, with a 20 to 50 percent rate six months after surgery.1,2 In most other areas of medicine, a 50 percent adverse effect rate would be considered unacceptable. In addition, there was no discussion of how long dryness may last, or...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1101/p1044.html

Acupuncture for Chronic Back Pain: What Level of Evidence? - Letters to the Editor - ...

Oct 15, 2010 - ...evidence. In an online comment to an article in BMJ, Dr. Colquhoun stated: Such is the delusional nature of much alternative medicine that when the test is failed, the conclusion isn't that the treatment doesn't work, but that the test doesn't work and must be replaced with one that...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1015/p869.html

HIV Testing: Removing Barriers Can Lead to Earlier Detection and Reduced Transmission -...

Oct 15, 2010 - ...2006. Routine opt-out HIV testing was recommended after repeated studies showed that risk-based screening failed to identify a significant number of adults with HIV infection (20 to 25 percent), and that patients continue to present in advanced stages of disease despite the...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1015/p878.html

Looking at the Benefit of Statins from a Different Perspective - Letters to the Editor ...

Oct 1, 2010 - ...in the group treated with statins and 5.7 percent in the control group. That translates into an absolute risk reduction of 0.6 percent and a number needed to treat (NNT) of 167. This means that 167 patients would need to be treated with a statin for 4.1 years to prevent one death....

American Family Physician : Letter

https://www.aafp.org/afp/2010/1001/p741.html

More Evidence of Green Tea's Effectiveness Is Needed - Letters to the Editor - American...

Jul 1, 2010 - ...shows in his book Snake Oil Science: The Truth About Complementary and Alternative Medicine that many factors conspire to produce false-positive results, particularly in studies of alternative medicine.2 A rigorously scientific analysis of all the green tea research can be best...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0701/p17.html

Infant Formula Versus Whole Milk in Six- to 12-Month-Olds - Letters to the Editor - ...

Apr 15, 2010 - ...of formula for term infants, the author recommends formula in the latter half of the infant's first year. As a disciple of evidence-based medicine, I have been unable to find data to support this advice. I remember that the American Academy of Pediatrics (AAP) lost a lawsuit in Ohio...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0415/p933a.html

Effectiveness and Safety of High-Dose Opioids for Chronic Pain - Letters to the Editor ...

Mar 15, 2010 - ...sleep disordered breathing.5 If pain control is not achieved before 180 mg of morphine equivalent per day, then increasing the dose has a number of risks and no known benefit. The physician can now safely say that opioids are not working and are no longer safe. Tapering and stopping...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0315/p693.html

Recognizing Patients' Transitions Toward the End of Their Life - Letters to the Editor ...

Feb 15, 2010 - ...The authors provide an excellent overview of travel medicine and many of the topics that should be included in a pretravel consultation. I agree that family physicians are ideally suited to perform travel-related medicine and hope that this article will encourage other family...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0215/p401.html

Understanding Rating Systems When Interpreting Evidence - Letters to the Editor - ...

Dec 1, 2009 - ...to result in considerable testing and treatment costs, resource use, and health care personnel time; and that it is likely to label a large number of persons (many not reporting bothersome respiratory symptoms or having nondisabling symptoms) as diseased who would not benefit from...

American Family Physician : Letter

https://www.aafp.org/afp/2009/1201/p1206.html

Effects of Marital Status on Cancer Incidence and Survival Rates - Letters to the ...

Nov 15, 2009 - ...in national guidelines. Despite a majority of our patients having a marriage-based lifestyle, marital status is an area that family medicine has not focused on for intervention. With the divorce rate continuing to hover around 50 percent, should family physicians include support of...

American Family Physician : Letter

https://www.aafp.org/afp/2009/1115/p1052.html

Disease Mongering and Excessive Daytime Sleepiness - Letters to the Editor - American ...

Oct 15, 2009 - ...Excessive daytime sleepiness is not recognized by the American Academy of Sleep Medicine's International Classification of Sleep Disorders. However, efforts have been made to link this concept of illness to modafinil through journal advertising, continuing medical education, journal...

American Family Physician : Letter

https://www.aafp.org/afp/2009/1015/p775.html

Prolotherapy for Treatment of Lateral Epicondylosis - Letters to the Editor - American ...

Sep 1, 2009 - ...known as prolotherapy.3 Both treatments target areas of neovascularity, a prominent pathologic feature of tendinopathy. A Swedish sports medicine group has published eight original papers documenting positive outcomes of ultrasound-guided sclerotherapy using polidocanol for...

American Family Physician : Letter

https://www.aafp.org/afp/2009/0901/p441a.html

Efforts Should Focus on Physician Reimbursement for Services - Letters to the Editor - ...

Feb 15, 2009 - ...to the editor: I agree with Dr. McGeeney’s comments that family medicine is indeed in a dire situation in the United States. However, surviving as a profession simply by trying to improve our practices via the TransforMED model is not going to work. Today, the family physician is...

American Family Physician : Letter

https://www.aafp.org/afp/2009/0215/p251.html

Family Physicians Should Provide Care for Hospitalized Patients - Letters to the Editor...

Nov 15, 2008 - ...no improvement in outcomes or cost savings from specialists in hospital medicine. I was pleased to read the Tips from Other Journals by Dr. Kripke that reviewed the study from the New England Journal of Medicine.1 This study showed that family physicians provide inpatient care on...

American Family Physician : Letter

https://www.aafp.org/afp/2008/1115/p1130.html

Pregabalin for the Treatment of Trigeminal Neuralgia - Letters to the Editor - American...

Oct 1, 2008 - ...to the editor: The article on trigeminal neuralgia came at a perfect time as I had just been discussing a refractory case with some family medicine and neurology colleagues. This particular patient's pain is made more intolerable by underlying anxiety, as is common with pain...

American Family Physician : Letter

https://www.aafp.org/afp/2008/1001/p808.html

Safety of Kava for Patients with Mild Anxiety Disorders - Letters to the Editor - ...

Aug 15, 2008 - ...in 2002 are still in effect and are echoed widely by respected sources such as the Natural Medicines Comprehensive Database,4 the National Center for Complementary and Alternative Medicine,5 and the NSRC research collaboration.6 Given the lack of regulation for supplements and the...

American Family Physician : Letter

https://www.aafp.org/afp/2008/0815/p433.html

Scope of Practice Differences in Urban and Rural Settings - Letters to the Editor - ...

Apr 1, 2008 - ...Frequently Asked Questions About Family Medicine Issue Date: July 1, 2007 Available at: https://www.aafp.org/afp/20070701/99.html to the editor: The article Responses to Medical Students' Frequently Asked Questions About Family Medicine, provides valuable and important information;...

American Family Physician : Letter

https://www.aafp.org/afp/2008/0401/p916.html

Implementing Oral Health Screening in Children - Letters to the Editor - American ...

Nov 1, 2007 - ...to dental care. The authors note that lack of clinical time and reimbursement are obstacles to the provision of oral health care in family medicine.1 Oral health guidelines were added to the well-child visit, but another option is to establish an oral health screening and prevention...

American Family Physician : Letter

https://www.aafp.org/afp/2007/1101/p1280.html

Diagnosis of Brown Recluse Spider Bites Is Overused - Letters to the Editor - American ...

Oct 1, 2007 - ...University of Washington/Swedish Family Medicine 45th St. Clinic 1629 N 45th St. Seattle, WA 98103 E-mail:mreitz@sfm.fammed.washington.edu Author disclosure: Nothing to disclose. REFERENCES show all references 1. Diaz JH, LeBlanc KE. Common spider bites. Am Fam Physician....

American Family Physician : Letter

https://www.aafp.org/afp/2007/1001/p943.html

Case Report: Patient Adherence to Drug Regimens Vital to Treatment - Letters to the ...

Sep 15, 2007 - ...Department of Family Medicine Thomas Jefferson University 1015 Walnut St., Suite 401 Philadelphia, PA 19107 E-mail: brentpsujmc@hotmail.com ANNE L. DUBREUIL, MD Department of Family Medicine Thomas Jefferson University 833 Chestnut St., Suite 301 Philadelphia, PA 19107 E-mail:...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0915/p769a.html

Update on the Treatment of Patients with Helicobacter pylori - Letters to the Editor - ...

Sep 1, 2007 - ...Dept. of Internal Medicine and Gastroenterology S. Orsola Hospital via Massarenti 9 Bologna, Italy 40138 E-mail: vairadin@med.unibo.it Author disclosure: Dr. Zullo has no conflicts of interest. Dr. Vaira is a stockholder in Meridian Bioscience, Inc. editor's note: This letter was...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0901/p633.html

Conflicting Evidence on Splints for Carpal Tunnel Syndrome - Letters to the Editor - ...

Aug 15, 2007 - ...months.3 The main outcome was whether the patient's overall symptoms had improved not at all, a little, a lot, or completely. Because of low numbers, the not at all and the a little groups were collapsed and the a lot and completely groups were collapsed; this analysis showed...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0815/p499.html

Importance of Influenza Vaccination for Children - Letters to the Editor - American ...

Aug 1, 2007 - ...Baylor College of Medicine Department of Pediatrics One Baylor Plaza Houston, TX 77030 E-mail: cbaker@bcm.tmc.edu WILLIAM SCHAFFNER, MD National Foundation for Infectious Diseases Vanderbilt University School of Medicine The Village at Vanderbilt Suite 2600, Mail Box #40 1500 21st...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0801/p343.html

The Grapefruit-Drug Interaction Debate: Role of Statins - Letters to the Editor - ...

Jul 15, 2007 - ...Dept. of Family Medicine Uniformed Services University 4301 Jones Bridge Rd. Bethesda, MD 20814 E-mail: breamy@usuhs.mil E-mail: mstephens@usuhs.mil Author disclosure: Nothing to disclose. The opinions and assertions contained herein are the private views of the authors and are not...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0715/p190.html

Is Weight Loss Sustainable with a Low-Carbohydrate Diet? - Letters to the Editor - ...

Jul 1, 2007 - ...Racine Family Medicine Residency Program Medical College of Wisconsin Dept. of Family and Community Medicine 1320 Wisconsin Ave. Racine, WI 53403 Email: alast@mcw.edu STEPHEN A. WILSON, MD, MPH University of Pittsburgh Medical Center St. Margaret Family Medicine Residency Program...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0701/p32a.html

Assessment of Patients with Sports-Related Concussions - Letters to the Editor - ...

Jun 15, 2007 - ...Mishawaka Orthopedics and Sports Medicine Mishawaka, IN 46545 E-mail: barbersforlife@yahoo.com in reply: The management of concussion must be understood in the context of what has been done, what currently is being done, and what might be done based on the evidence. More than 25...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0615/p1770.html

Principles to Help Prevent Youth Sports-Related Injuries - Letters to the Editor - ...

Jun 1, 2007 - ...rate occurs in children five to 14 years of age, accounting for more than 750,000 annual visits to the emergency department.4 The absolute number of injuries, however, is believed to be much higher because many young athletes do not seek medical attention. Although many childhood...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0601/p1620.html

Medicine and the Pharmaceutical Industry: A Call to Action - Letters to the Editor - ...

May 15, 2007 - ...Medicine and the Pharmaceutical Industry: A Call to Action Am Fam Physician. 2007 May 15;75(10):1447-1448. Related Editorial to the editor: At our practice, we continue to regularly receive a barrage of invitations to free dinners, offers to attend professional athletic venues, and...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0515/p1447.html

Screening for Dysplasia of the Hip: Weigh Harms and Benefits - Letters to the Editor - ...

May 1, 2007 - ...of Medicine, Phoenix 550 E. Van Buren Phoenix, AZ 85004 E-mail: dougco@u.arizona.edu Author disclosure: Nothing to disclose. Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number....

American Family Physician : Letter

https://www.aafp.org/afp/2007/0501/p1304.html

Clarification About Smoking Cessation Interventions - Letters to the Editor - American ...

Apr 15, 2007 - ...University of Kansas School of Medicine 3901 Rainbow Blvd. Kansas City, KS 66160 JASJIT S. AHLUWALIA, M.D., M.P.H., M.S. University of Minnesota Academic Health Center 420 Delaware St., S.E. MMC 451 Minneapolis, MN 55455 Author disclosure: Nothing to disclose. REFERENCES show all...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0415/p1151.html

Case Report: Lemierre Syndrome Presenting with Fever and Pharyngitis - Letters to the ...

Apr 1, 2007 - ...Department of Internal Medicine University of Manitoba GC4 - 820 Sherbrook St. Winnipeg, Manitoba, R3A 1R9 Canada E-mail: drj_2003@hotmail.com Author disclosure: Nothing to disclose. Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0401/p979a.html

Management of Infantile Seborrheic Dermatitis - Letters to the Editor - American Family...

Mar 15, 2007 - ...University of Pittsburgh, School of Medicine Dept. of Family Practice UPMC St. Margaret 3937 Butler Street Pittsburgh, PA 15201 E-mail: arorav@upmc.edu SWATI ARORA, M.D. Drexel University AGH, 320 E. N Avenue Pittsburgh, PA 15212 Author disclosure: Nothing to disclose. Send...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0315/p807.html

Methods for Diagnosing Peripheral Vascular Disease - Letters to the Editor - American ...

Jan 15, 2007 - ...Keck School of Medicine University of Southern California 1975 Zonal Ave, KAM317 Los Angeles, CA 90033 E-mail: allan.abbott@ksoma.hsc.usc.edu Author disclosure: Nothing to disclose. Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0115/p168a.html

Diagnosing Patients with Suspected Thyroiditis - Letters to the Editor - American ...

Jan 15, 2007 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0115/p168.html

Treatment of Patients with Irritable Bowel Syndrome - Letters to the Editor - American ...

Jan 1, 2007 - ...Washington University School of Medicine 11525 Olde Cabin Rd. St. Louis, MO 63141 Author disclosure: Dr. Weinstock is on the speaker's bureau for Salix Pharmaceuticals. editor's note: This letter was sent to the authors of Treatment of Irritable Bowel Syndrome, who declined to...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0101/p31.html

Health Care and Insurance Issues for Transgender Persons - Letters to the Editor - ...

Dec 15, 2006 - ...primary care physicians about transgender medicine is critical to ensuring that this population receives the knowledgeable and sensitive care that all of our patients deserve. R. NICK GORTON, M.D. Diplomate American Board of Emergency Medicine 808 F Street #311 Davis, CA 95616. in...

American Family Physician : Letter

https://www.aafp.org/afp/2006/1215/p2022.html

The Changing Role of Family Physicians in HIV Care - Letters to the Editor - American ...

Nov 15, 2006 - ...that HIV now will be considered a routine test, one that they may refuse (the so-called opt-out option). Physicians can expect a fair number of false-positive tests in low-prevalence populations and should advise their patients about this possibility. In addition, physicians will...

American Family Physician : Letter

https://www.aafp.org/afp/2006/1115/p1683.html

Medication Options for the Treatment of CAP - Letters to the Editor - American Family ...

Nov 1, 2006 - ...Northeastern Ohio Universities College of Medicine 75 Arch St., Suite 105 Akron, OH 44304 PAUL B. IANNINI, M.D. Danbury Hospital 24 Hospital Ave. Danbury, CT 06081 editor’s note: This letter was sent to the authors of Diagnosis and Treatment of Community-Acquired Pneumonia, who...

American Family Physician : Letter

https://www.aafp.org/afp/2006/1101/p1479.html

Nesiritide for Acute Decompensated Heart Failure - Letters to the Editor - American ...

Oct 15, 2006 - ...Brody School of Medicine 111 Hospital Dr. Tarboro, NC 27886 Author disclosure: Dr. Alhosaini is on the speakers bureau for Scios, Inc., which manufactures nesiritide. in reply: I appreciate Dr. Alhosaini’s interest in the STEPS review of nesiritide (Natrecor) for the treatment of...

American Family Physician : Letter

https://www.aafp.org/afp/2006/1015/p1279.html

Relationship Between Cocaine Use and Cardiovascular Events - Letters to the Editor - ...

Oct 1, 2006 - ...Dept. of Family Medicine St. Clare’s Hospital 600 McClellan St. Schenectady, NY 12304 in reply: Drs. Joslin and Dachs note an important difference in the incidence of acute coronary syndrome (ACS) in patients who have chest pain following cocaine use. In the study they cite by...

American Family Physician : Letter

https://www.aafp.org/afp/2006/1001/p1095a.html

Defining and Treating Constipation in Older Adults - Letters to the Editor - American ...

Sep 1, 2006 - ...focus on stool frequency.3 Defining constipation using stool frequency alone maximizes the potential to underdiagnose a significant number of patients who suffer from chronic constipation. Second, irritable bowel syndrome is generally considered a primary cause of constipation...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0901/p715.html

Diagnostic Criteria for Patients with Irritable Bowel Syndrome - Letters to the Editor ...

Aug 15, 2006 - ...Eau Claire Family Medicine Residency University of Wisconsin Dept. of Family Medicine 207 W. Lincoln Augusta, WI 54722 editor’s note: This letter was sent to the authors of Treatment of Irritable Bowel Syndrome, who declined to reply. Send letters to afplet@aafp.org, or 11400...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0815/p557.html

Lidocaine Patch for Treatment of Postherpetic Neuralgia? - Letters to the Editor - ...

Aug 1, 2006 - ...neuralgia (tricyclic antidepressants, gabapentin [Neurontin], opiates, and capsaicin [Zostrix]), there is no discussion of methodology, numbers needed to treat, or side effects for the lidocaine patch. We conducted a systematic review of treatments for postherpetic neuralgia3 and...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0801/p378.html

Meperidine to Manage Pain Related to Diverticular Disease - Letters to the Editor - ...

Jun 15, 2006 - ...Meperidine has a number of distinct disadvantages relative to other narcotic analgesics. Its analgesic effects are not pronounced, and its duration of action is short. It has multiple potential drug interactions, including the possibility of serotonergic crisis, and has toxic...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0615/p2123.html

Determining Ectopic Pregnancy Risk Using Progesterone Levels - Letters to the Editor - ...

Jun 1, 2006 - ...and Preventive Medicine University of Oklahoma Health Sciences Center 900 N.E. 10th St Oklahoma City, OK 73104 Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0601/p1892.html

Diagnosing Allergic Rhinitis: Skin Test vs. IgE Testing - Letters to the Editor - ...

May 1, 2006 - ...UCLA School of Medicine 2825 Santa Monica Blvd. Santa Monica, CA 90404 editor's note: This letter was sent to the authors of Vasomotor Rhinitis, who declined to reply. Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0501/p1517.html

Pain Management Is Part of Advance Directives Discussion - Letters to the Editor - ...

Apr 15, 2006 - ...Dept. of Family and Community Medicine 1400 Wallace Blvd. Amarillo, TX 79106 Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0415/p1331a.html

Transmission of Herpes Simplex Virus via Oral Sex - Letters to the Editor - American ...

Apr 1, 2006 - ...to the editor: I am trained in, and am an avid supporter of, family medicine. As a lecturer on sexually transmitted infections, I was eager to read the article by Dr. Beauman, Genital Herpes: A Review, 1 in the October 15, 2005, issue of American Family Physician. The article was...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0401/p1153.html

Statins in Primary Prevention: Uncertainty in Women, Elderly - Letters to the Editor - ...

Mar 15, 2006 - ...in women. The authors concluded that although the summary estimate suggests a reduction in coronary heart disease (CHD) events, the small number of events limits the ability to draw conclusions about the true effect.4 The National Cholesterol Education Program Adult Treatment Panel...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0315/p973.html

Obstructive Sleep Apnea Associated with Leg Edema - Letters to the Editor - American ...

Feb 15, 2006 - ...patients identified met the criteria for IE, and the evaluation of the patients was probably not adequate to rule out all other causes. The number of patients in this study was small, and when no obvious cause was identified, the patients were labeled as having IE. We think it...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0215/p589.html

Executive Function Testing to Diagnose, Subtype Dementias - Letters to the Editor - ...

Jan 15, 2006 - ...Department of Family and Community Medicine Penn State University College of Medicine 500 University Dr., H154 Hershey, PA 17033 MEL P. DALY, M.D. Johns Hopkins University School of Medicine Greater Baltimore Medical Center 6701 N. Charles St., Suite 5417 Baltimore, MD 21204...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0115/p211.html

Government-Controlled Health Care Is Not the Solution - Letters to the Editor - ...

Jan 1, 2006 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0101/p32.html

Sensitivity and Specificity of Urinary Nitrite for UTIs - Letters to the Editor - ...

Dec 1, 2005 - ...Multiple references support different sensitivity and specificity numbers. For example, Campbell’s Urology states that the specificity of the nitrite dipstick for detecting bacteriuria is over 90 [percent]. The sensitivity of the test, however, is considerably less, varying from 35...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1201/p2180.html

Encounter Form for Patients with Acute Knee Injuries - Letters to the Editor - American...

Nov 15, 2005 - ...The patient encounter form1 is very concise. However, a primary care physician who uses this form and does not have a good musculoskeletal medicine background may miss or not even consider other important knee injuries, including damage to the posterior cruciate ligament, collateral...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1115/p1966.html

Tramadol for Acute Pain: A Review of the Evidence - Letters to the Editor - American ...

Nov 15, 2005 - ...did not cite a meta-analysis5 of individual patient data that showed that, compared with placebo, tramadol (75 mg) plus acetamino-phen had a number needed to treat (NNT) of 2.6 to reduce pain by 50 percent, which was comparable to the NNT of 2.4 for 5 mg of oxycodone (Oxycontin)...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1115/p1964.html

Nasal Irrigation to Treat Acute Bacterial Rhinosinusitis - Letters to the Editor - ...

Nov 1, 2005 - ...Department of Family Medicine 777 S. Mills St. Madison, WI 53715 IN REPLY: We thank Dr. Rabago and colleagues for their comments and agree that nasal irrigation is an adjunctive therapy that should be considered for patients with recurrent or chronic sinus symptoms. However, the...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1101/p1661.html

Suggest Vegetarian Diet to Patients with Dysmenorrhea - Letters to the Editor - ...

Oct 15, 2005 - ...Physicians Committee for Responsible Medicine 5100 Wisconsin Ave., NW, Suite 400 Washington, DC 20016 in reply: Dr. Jaster makes some very good points about the health benefits of a vegetarian diet in addition to its potential to favorably impact dysmenorrhea. I agree that it is...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1015/ol2.html

Safety of and Contraindications for Use of Intrauterine Devices - Letters to the Editor...

Oct 15, 2005 - ...Albert Einstein College of Medicine of Yeshiva University Department of Family and Social Medicine 3544 Jerome Ave. Bronx, NY 10467 editor’s note: This letter was sent to the author of Insertion and Removal of Intrauterine Devices, who declined to reply. Send letters to...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1015/p1450.html

Update on Outpatient Treatment of Systolic Heart Failure - Letters to the Editor - ...

Oct 1, 2005 - ...harm. I have been confronted with this phenomenon repeatedly through my work in college health and in my supervisory role in our Family Medicine Teen Clinic. There appears to be a lack of information in the medical literature on deliberate self-inflicted harm and some...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1001/p1172.html

Possible Interaction Between Warfarin and Cranberry Juice - Letters to the Editor - ...

Sep 15, 2005 - ...2004, the British Committee on Safety of Medicines and the Medicines and Healthcare Products Regulatory Agency have received 12 reports of suspected interactions involving warfarin and cranberry juice.5 The Committee on Safety of Medicines’ formal advice is for physicians to...

American Family Physician : Letter

https://www.aafp.org/afp/2005/0915/p1000.html

Adapter Provides Constant Spray of Liquid Nitrogen - Letters to the Editor - American ...

Aug 15, 2005 - ...Wake Forest University School of Medicine Dept. of Family and Community Medicine Piedmont Bldg. Medical Center Blvd. Winston-Salem, NC 27157–1084 REFERENCES 1. Andrews MD. Cryosurgery for common skin conditions. Am Fam Physician. 2004;69:2365–72. 2. Hocutt J Jr. Cryosurgery. In:...

American Family Physician : Letter

https://www.aafp.org/afp/2005/0815/p573a.html

Intrauterine Device: Acceptable Contraceptive Option - Letters to the Editor - American...

Aug 15, 2005 - ...Faculty of Medicine Department of Family Medicine Dumlupinar Bulvari Antalya, Turkey 07070 in reply: I appreciate the response from Drs. Yaman and Akdeniz. An important aspect of incorporating any guideline into practice is determining the demographics of the specific...

American Family Physician : Letter

https://www.aafp.org/afp/2005/0815/ol2.html

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