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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

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