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ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ...

Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood and can profoundly affect the academic achievement, well-being, and social interactions of children; the American Academy of Pediatrics first published clinical recommendations for ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/aap-adhd.pdf

AFP Editorial: The AAFP Cognitive Care Kit-A Resource for Family Physicians

November 15, 2017: Editorials

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/afp-editorial-cck.pdf

Americans in Motion - Healthy Interventions: One Step at a Time

...• Lowers your risk for cardiovascular diseases such as heart attack, stroke, and atherosclerosis (hardening of the arteries). • Increases your stamina. • Helps you lose excess body fat. • Tones your major muscles. • Improves your sense of well-being. • Improves your...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/OneStepAtATime.pdf

April is National Minority Health Month

Apr 1, 2016 - As family physicians and leaders in your communities, you are uniquely positioned to engage patients and populations about the stress of being a victim of racism and discrimination.

Patient Care : Social Determinants of Health

https://www.aafp.org/patient-care/social-determinants-of-health/cultural-proficiency/minority-health.html

Atrial Fibrillation - Clinical Practice Guideline -- Clinical Recommendation

Nov 24, 2014 - Access evidence-based guidelines on Management of Newly-Detected Atrial Fibrillation, developed by the AAFP in collaboration with the American College of Physicians.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/atrial-fibrillation.html

Aultman Final Report

...depression and bipolar disorder. In addition to the psychiatric conditions, majority also have co-morbidities such as heart disease, stroke, cancer and COPD. The hospitalization and even re-admission are also increased among patients who are smokers. Unfortunately, our patients have...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/Mini-Grants/aultman-final-report.pdf

Clinical practice guideline: Benign paroxysmal positional vertigo

The primary purposes of this guideline are to improve quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary tests such as ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/RecToBOD-020810-Attachment1BPPV-Jan2010Cluster.pdf

Clinical practice guideline: Hoarseness (Dysphonia)

...Chronic conditions Stroke Diabetes Parkinson’s disease Diseases from the Parkinson’s Plus family (progressive supranuclear palsy, etc) Myasthenia gravis Multiple sclerosis Amyotrophic lateral sclerosis (ALS) Testosterone deficiency Table 5 continued Allergic rhinitis...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/RecBoardChair-060810-Attachment-Hoarseness-Guideline.pdf

Clinical Utility of Family History for Cancer Screening and Referral in Primary Care: A...

Family Healthware identified patients for intensified cancer prevention. Engagement of clinicians and patients, integration with clinical decision support, and inclusion of nonfamilial risk factors may be necessary to achieve the full potential of computerized risk assessment.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/rubinsteinfhtcascreening2.pdf

Comparative Effectiveness of Antihypertensive Therapeutic Classes and Tratment Strategies

Few comparative effectiveness studies of treatment strategies using antihypertensive therapeutic classes in hypertension control have been assessed in a primary care environment. The objectives are to compare the effectiveness of common antihypertensive therapeutic classes initiated as ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/Bronsert_DARTNet_JABFM_2013.pdf

Comparison of risk perceptions and beliefs across common chronic diseases

These data highlight how individuals comparatively view chronic diseases. Addressing prior disease perceptions when communicating multiple disease risks may facilitate an accurate understanding of risk for diseases, and help individuals to effectively identify and engage in relevant ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/FHTWang.pdf

Components of Family History Associated with Women's Disease Perceptions for cancer: A ...

Participants provided family history information on 41,841 total relatives. We found evidence of underreporting of paternal family history and lower perceived breast cancer risk with cancer in the paternal versus maternal lineage. We observed cancer-specific perceived risks and worry ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/rubensteinfhtwomens.pdf

COPD-Patient-Intervention-Module.ppt

...or tiotropium for treatment of COPD (6 weeks to 5 years in duration). Investigators found increased risk of cardiovascular death, MI or stroke with anticholinergics vs placebo (1.8% vs 1.2%; number needed to harm [NNH] = 167). However, in the analysis of only trials of more than six...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/copd/COPD-Patient-Intervention-Module.ppt

Delaware - Final Report

...stroke. Currently in the U.S, there are more than 4.5 million children under the age of 18 who smoke. This translates to approximately 22% of high school students reporting that they are smokers. Of these, approximately 1/3 will die prematurely from smoking-related illnesses....

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/Mini-Grants/de-final-report-2015.pdf

Design and Implementation of N-of-1 Trials: A User's Guide

AHRQ commissioned this User’s Guide as an informational resource to researchers, health care providers, patients, and other stakeholders to improve general understanding of n-of-1 trials and strengthen the quality of evidence that is generated when an n-of-1 trial is conducted. The ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/design-implementation-n1-trials.pdf

Diagnosis and Management of Obesity

...Some of the leading causes of preventable death among adults are obesity-related condi- tions such as heart disease, stroke, type 2 dia- betes, and some types of cancer (endometrial, breast, colon).11 excess weight also increases the risk of liver and gallbladder disease, sleep...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/obesity-diagnosis-mono.pdf

Drug Interactions With Tobacco Smoke

...Hormonal contraceptives • á Risk of cardiovascular adverse effects (e.g., stroke, myocardial infarction, thromboembolism) in women who smoke and use oral contraceptives. Ortho Evra patch users shown to have 2-fold á risk of venous thromboembolism compared to oral contraceptive...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/drug-interactions.pdf

Effect of Preventive Messages Tailored to Family History on Health Behaviors: The ...

The study was a cluster-randomized clinical trial that included 41 primary care practices, the majority in the Midwest, using Family Healthware, a self-administered, Web-based tool that assesses familial risk for the diseases and provides personalized risk-tailored messages. Patients in...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ruffinfht11preventivemessages.pdf

Effects of Changing Guidelines on Prescribing Aspirin for Primary Prevention of ...

Multiple studies and meta-analyses indicate that there is no specific population in which the benefits of low-dose aspirin therapy for primary prevention exceed the risks. The Dialysis Outcomes and Practice Patterns Study (DOPPS), an observational investigation of aspirin use and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/hissett-prescribing-aspirin-cvd.pdf

Familial Risk for Common Diseases in Primary Care: The Family Healthware Impact Trial

The prevalence of family-history-based risk for coronary heart disease (CHD); stroke; diabetes; and colorectal, breast, and ovarian cancer was determined in a primary care population.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/oneillfhtfamilialrisk09.pdf

Family Healthware Impact Trial -- National Research Network Studies

Mar 3, 2015 - Read a description of the Family Healthware Trail study and view aims, objectives, status, timeline, key findings and publications.

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/studies/all/healthware.html

Family History and Perceptions About Risk and Prevention for Chronic Diseases in ...

At baseline, healthy primary care patients reported their perceptions about coronary heart disease, stroke, diabetes, and breast, ovarian, and colon cancers. Immediately afterward, intervention group participants used Family HealthwareTM to record family medical history; this web-based ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/acheson-fht-riskandprevention-genmed-2010.pdf

Family Physician’s Knowledge, Beliefs, and Self-reported Practice Patterns Regarding ...

Family physicians have the potential to make a major impact on reducing the burden of cardiovascular disease through the optimal assessment and management of hyperlipidemia. We were interested in assessing the knowledge, beliefs, and self-reported practice patterns of a representative ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/HyperlipidemiaManuscript.pdf

FP Essentials #432: Chronic Pain Management

...loss of sen- sory function, may manifest with a glove and stocking (peripheral neuropathy), dermatomal (mononeu- ropathy), or hemispheric (stroke) distribution. The overlying skin may be cool to the touch and mottled (autonomic neuropathy).16 Depending on the history and clinical...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/restricted/432_fp-essentials_chronic-pain-management.pdf

FP Essentials #432: Chronic Pain Management

...loss of sen- sory function, may manifest with a glove and stocking (peripheral neuropathy), dermatomal (mononeu- ropathy), or hemispheric (stroke) distribution. The overlying skin may be cool to the touch and mottled (autonomic neuropathy).16 Depending on the history and clinical...

Patient Care

https://www.aafp.org/content/dam/AAFP/documents/patient_care/restricted/432_fp-essentials_chronic-pain-management.pdf

Hypertension in Adults Over 60 -- Clinical Recommendation

Jan 9, 2017 - Access the AAFP clinical practice guideline on treatment of hypertension in adults over age 60.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/hypertension-over-60.html

Importance of Urine Albumnin-Creatinine Ratio in the Diagnosis and Prognosis of Chronic...

More research is needed to determine definitively whether or not the treatment of albuminuria delays the progression of chronic kidney disease and reduces mortality.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/fox-urine-albumin.pdf

Improving Patient Outcomes by Enhancing Student Understanding of Social Determinants of...

...Methods-Direct Observations and Windshield Surveys. In:Heart-Healthy and Stroke Free ASocial Environment Handbook. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2007 http://www.cdc.gov/dhdsp/docs/seh_handbook.pdf. Accessed on...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/health-equity-toolkit/hops19-sdoh-improving.pdf

JUUL Fact Sheet - Patient

...is a particular concern due to increased risk for addiction and passive exposure. Smoking is a known cause of cancer, heart disease, stroke, and chronic obstructive pulmonary disease. Young people who use e-cigarettes, such as JUUL, are more likely to transition to combustible...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/juuling-fact-sheet-patient.pdf

JUUL Fact Sheet -- Physician

...is a particular concern due to increased risk for addiction and passive exposure. Smoking is a known cause of cancer, heart disease, stroke, and chronic obstructive pulmonary disease. Young people who use e-cigarettes, such as JUUL, are more likely to transition to combustible...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/juuling-fact-sheet-physician.pdf

Management of Atrial Fibrillation: Review of the Evidence for the Role of Pharmacologic...

Atrial Fibrillation

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/afib_background.pdf

Management of New Detected Atrial Fibrillation

The Joint Panel of the American Academy of Family Physicians and the American College of Physicians, in collaboration with the Johns Hopkins Evidence-based Practice Center, systematically reviewed the available evidence on the management of newly detected atrial fibrillation and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/afib_guidelines.pdf

Outcomes of Biomarker Feedback on Physical Activity, Eating Habits, and Emotional Health

The purpose of this article was to test whether physical activity, healthy eating, and emotional well-being would improve if patients received feedback about biomarkers that have been shown to be responsive to changes in weight and fitness.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/mitchell-%20aimhi-jabfm-2014.pdf

Overweight, Obesity, and Fitness

Sep 22, 2015 - View information about the prevention of obesity and other chronic conditions. Learn about Americans In Motion-Healthy Interventions, the AAFP's program that makes fitness the treatment of choice for many chronic illnesses.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/fitness-obesity.html

Pharmacologic Management of Newly Detected Atrial Fibrillation

...that clinicians discuss the risk of stroke and bleeding with all patients considering anticoagulation (good practice point). Clinicians should consider using the continuous CHADS 2 or continuous CHA 2 DS 2 -VASc for prediction of risk of stroke (weak recommendation,...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/a-fib-guideline.pdf

Practice Patterns, Believes and Perceived Barriers to Care Regarding Dementia

With the aging of the population, the percent age of the population in North America likely to be diagnosed with dementia is estimated to increase by 49% by 2020 and 172% by 2040. Primary care physicians must learn to care for these patients; thus, it is useful to understand family ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/stewart_dementia_2014.pdf

Practice-Based Research Networks

...paint the broad brush strokes, and then have our panel fill in the details. Key functions Key functions include network infrastructure maintenance (particularly project develop- ment including sustaining relationships with principal investigators, academic collabora- tors and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/pearlsofresearch.pdf

Risk-Adjusted Comparison of Blood Pressue and Low-Density Lipoprotein Noncontrol in ...

The objectives of this article are to (1) demonstrate the use of electronically downloaded electronic health record (EHR) data to assess guideline concordance in a large cohort of primary care patients, (2) provide a contemporary assessment of noncontrol of BP and low-density ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/hammermeister-risk-adjusted-comparison.pdf

Screening for Carotid Artery Stenosis -- Clinical Recommendation

May 12, 2014 - View the AAFP Choosing Wisely recommendation on screening asymptomatic adult patients for carotid artery stenosis (CAS).

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/cw-cas.html

Selected Issues in Injury and Illness Prevention and the Team Physician: A Consensus ...

This document provides an overview of selected medical issues that are important to team physicians who are responsible for the care and treatment of athletes. It is not intended as a standard of care, and should not be interpreted as such.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMinjuryandillness.pdf

Tar Wars Program Guide

...is a particular concern due to increased risk for addiction and passive exposure. Smoking is a known cause of cancer, heart disease, stroke, and chronic obstructive pulmonary disease. Young people who use e-cigarettes, such as JUUL, are more likely to transition to combustible...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/tar_wars/program-guide.pdf

Target Disease

...The AAFP recommends that adults without a history of cardiovascular disease (CVD) (ie, symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: 1) they are...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/cps-recommendations.pdf

Tips From Former Smokers -- Tobacco and Nicotine

Feb 2, 2016 - Access information and resources from the AAFP and the CDC in support of the CDC's Tips from Former Smokers campaign.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/tobacco-nicotine/tools/cdc-tips.html

Tobacco Education Experiments and Activities -- Tar Wars

...With the toothbrush and toothpaste, brush the egg as if it were a tooth with eight or 10 strokes. Note that brushing is not able to remove all of the stain, especially in the cracks. Key Points Over time, tobacco juice badly stains teeth. Tobacco juice causes gums to recede...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/tar_wars/ExperimentsActivities.pdf

Treating Tobacco Use and Dependence: 2008 Update

...and accounts for more than 435,000 deaths each year in the United States.37,38 Smoking is a known cause of multiple cancers, heart disease, stroke, complications of pregnancy, chronic obstructive pulmonary disease (COPD), and many other diseases.4 In addition, recent research has...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/TreatingTobaccoUseandDependence-2008Update.pdf

Using Patient Monetary Incentives and Electronically Derived Patient Lists to Recruit ...

Using EMR data reduces the burden to identify potentially eligible patients. However, some providers still did not review and return the lists. Adding a $2 incentive and deadline for responding did not improve the rate of eligible patients consenting and completing the study. Other ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ruffinfht11monetaryincentives.pdf

Venous Thromboembolism Prophylaxis in Hospitalized Patients: A Clinical Practice ...

The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on prophylaxis of venous thromboembolism for hospitalized nonsurgical patients (medical patients and patients with acute stroke).

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/acp-venous-throboembolism.pdf

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