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American Family Physician January 15, 2001 Michael A. Crouch |
Effective Use of Statins to Prevent Coronary Heart Disease Primary and secondary prevention trials have shown that use of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) to lower an elevated low-density lipoprotein level can substantially reduce coronary events and death from coronary heart disease... |
American Family Physician April 15, 2003 Kathy Soch |
Diary from a Week in Practice Good news and bad news for one being treated for severe hyperlipidemia... To refer for weight reduction surgery?... A wonderful little pill... etc. |
American Family Physician October 15, 2004 Kathy Soch |
Diary From a Week in Pactice A family practitioner remembers to put the chart aside and go to the patient for the answers... Refers a patient to a rheumatologist... Changes meds for a patient with advanced dementia... etc. |
American Family Physician January 15, 2002 Lori J. Mosca |
Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease in Women Elevated levels of low-density lipoprotein cholesterol and triglycerides and low levels of high-density lipoprotein cholesterol are significant risk factors for coronary heart disease. Abundant data show inadequate utilization of lipid-lowering therapy in women... |
American Family Physician August 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family physician sees a patient who wants to talk about his wife's condition more than his own... Attends a viewing of a nursing home patient... Sees a Minnesotan burned by Texas sun... etc. |
American Family Physician December 15, 2003 Kathy Soch |
Diary from a Week in Practice Every time you see a patient with diabetes, think about their eyes, heart, kidneys and feet... What to do about women who want to continue with hormone therapy now that it's fallen out of favor?... A 100-year-old gets her first prescription for medication for a chronic condition... etc. |
American Family Physician March 1, 2002 Richard S. Safeer |
Cholesterol Treatment Guidelines Update In addition to modifying current strategies of risk assessment, the new guidelines stress the importance of an aggressive therapeutic approach in the management of hypercholesterolemia... |
American Family Physician April 15, 2004 Kathy Soch, M.D. |
Diary from a Week in Practice Adjusting thyroid doses... Assessing driving ability in the office setting... etc. |
American Family Physician August 15, 2004 Kathy Soch |
Diary From a Week in Pactice A family practitioner laughs with a patient over a wig... Decides on last-days comfort for an Alzheimer's patient... Finds over-the-phone international rashes impossible to diagnose... Reminds an intern that alcoholism isn't simple to diagnose... etc. |
American Family Physician June 15, 2002 Kathy Soch |
Diary from a Week in Practice Asking teenaged patients about sensitive subjects... A resident takes charge of a patient with queit confidence and skill... Never a more important house call... etc. |
American Family Physician June 15, 2004 Kathy Soch |
Diary From a Week in Pactice A family practice physician deals with anxiety over a patient's surgery... A raccoon bite... Supporting a nursing home decision... Applauding lifestyle changes... etc. |
American Family Physician March 15, 2005 |
What Should I Know About Cholesterol? A patient hand-out on how cholesterol levels effect the likelihood of heart attack and stroke. |
American Family Physician June 15, 2005 Hanna & Wenger |
Secondary Prevention of Coronary Heart Disease in Elderly Patients A review of the scientific evidence for the secondary prevention of coronary heart disease in the elderly. |
American Family Physician December 15, 2003 Ezekowitz et al. |
Stroke: Strategies for Primary Prevention Stroke is a leading cause of morbidity and mortality. Every year, approximately 500,000 Americans have a first stroke, and approximately 20 percent die within 30 days. This article summarizes strategies that have been shown to be effective in stroke prevention. |
American Family Physician August 15, 2003 Kathy Soch |
Diary from a Week in Practice Trust helps a diagnosis of a child's ADHD go down easier... Sometimes good ideas come when you're sitting in traffic... An unusual case of dyspnea on exertion... etc. |
American Family Physician February 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family practitioner sends a patient back to a nursing home... An annoying letter turned out to be more sensible than onerous... Wonders at prescribing 13 drugs for one patient... etc. |
American Family Physician February 15, 2003 |
Diary from a Week in Practice Sudden change in blood glucose level... Smallpox vaccinations... etc. |
American Family Physician April 15, 2005 Kathy Soch |
Diary From a Week in Pactice Monday: A smart patient admits to poor reasoning in facing her diabetes... Tuesday: A patient who's been advised to quit smoking makes the front page - smoking... Wednesday: An elderly patient with advanced dementia may have syphilis... etc. |
American Family Physician October 15, 2006 Sharonne N. Hayes |
Preventing Cardiovascular Disease in Women The American Heart Association guidelines for cardiovascular disease prevention in women provide physicians with a clear plan for assessment and treatment of cardiovascular disease risk and personalization of treatment recommendations. |
Nurse Practitioner February 2012 Wood & Gordon |
Preventing CVD in women: The NP's role This article focuses on the new American Heart Association guidelines for preventing cardiovascular disease in women and the nurse practitioner's role in implementing them. |
American Family Physician August 15, 2002 Kathy Soch |
Diary from a Week in Practice Remembering to perform routine preventive services on such a complex, demanding patient... Determining a patient's prognosis can sometimes be challenging... etc. |
American Family Physician December 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family physician congratulates a 9-year-old boy on his state achievement test in reading... Talks to a 78-years-old Hurricane Katrina victim about riding an airplane... Tweaks a patient's warfarin dosage... etc. |
American Family Physician October 15, 2002 Kathy Soch |
Diary from a Week in Practice Acanthosis nigricans is commonly seen in school-aged children in south Texas... Even when patients have completed an advance directive and durable power of attorney, decisions at the end of life can be difficult... etc. |
American Family Physician April 1, 2004 Nina Solenski |
Transient Ischemic Attacks: Part II. Treatment Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. |
American Family Physician October 15, 2003 Gavin et al. |
Reducing Cardiovascular Disease Risk in Patients with Type 2 Diabetes By increasing patient awareness of the link between diabetes and heart disease, family physicians can encourage patients to take medications (including aspirin), stop smoking, lower blood pressure, and lower cholesterol and blood glucose levels. |
American Family Physician October 15, 2005 Coleman & Newton |
Supporting Self-Management in Patients with Chronic Illness Family physicians can support patient self-management by structuring patient-physician interactions to identify problems from the patient perspective, making office environment changes that remove self-management barriers, and providing education individually and through available community self-management resources. |
American Family Physician November 15, 2001 Robert H. Shackelford |
Diary from a Week in Practice Patient loyalty and emergency measures... Four-gallon-bag prescription regimen reduced to one avoids potential self-medicating errors... etc. |
American Family Physician December 15, 2000 Alan J. Garber |
Attenuating Cardiovascular Risk Factors in Patients with Type 2 Diabetes All cardiovascular risk factors except smoking are more prevalent in patients with type 2 diabetes. In addition to exercise, weight control, aspirin therapy and blood pressure control, therapy to modify lipid profiles is usually necessary... |
American Family Physician December 15, 2002 Kathy Soch |
Diary from a Week in Practice When families make promises to keep patients at home, what they mean is that they will care for them in the best and safest way possible... A tornado worries a hospital... Med students excel at taking a patient's history and physical examination, but they tend to have problems elsewhere... |
American Family Physician December 15, 2004 Kathy Soch |
Diary From a Week in Pactice A family physician writes out a multi-symptomatic patient's refills... Sees a home bound Alzheimer's patient... Realizes that the hardest thing to do is nothing... etc. |
American Family Physician July 15, 2000 Mitchell S. King |
Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery... |
American Family Physician October 15, 2003 Kathy Soch |
Diary from a Week in Practice Pulling off toenails without anesthesia... Three of three blood cultures were positive for Staphylococcus aureus... Sometimes ordering brand name drugs instead of generics does make a difference... etc. |
American Family Physician July 15, 2000 Valerie Palda |
Editorials PRE-OPportunity Knocks: A Different Way to Think About the Preoperative Evaluation... |
American Family Physician December 15, 2001 Kathy Soch |
Diary from a Week in Practice Discussing conflicting guidelines with patients... Breastfeeding pays off... Rounds help med student self-diagnose... etc. |
American Family Physician April 15, 2002 Kathy Soch |
Diary from a Week in Practice Sometimes physicians can take advantage of anticipated side effects and actually use them to treat patients... Computers have really improved patient satisfaction... Walking three children to school in the morning can be educational for a family practice physician... |
American Family Physician October 1, 2000 |
AAFP Core Educational Guidelines Recommended Core Educational Guidelines For Family Practice Residents... |
American Family Physician August 1, 2004 Wiviott & Braunwald |
Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part II. Coronary Revascularization, Hospital Discharge, and Post-Hospital Care In patients hospitalized with UA/NSTEMI, one of the most important decisions is the early strategy of care regarding coronary angiography and revascularization. |
American Family Physician June 15, 2004 Darwin Deen |
Metabolic Syndrome: Time for Action Family physicians can be more effective in helping patients to change their lifestyle behaviors by assessing each patient for the presence of specific risk factors, clearly communicating these risk factors to patients, identifying appropriate interventions to address specific risks, and assisting patients in identifying barriers to behavior change. |
Nursing March 2012 Susan Simmons |
Recognizing and preventing Acute stroke in women In women, stroke is the third leading cause of death, after heart disease and cancer, and the major cause of disability. |
American Family Physician June 15, 2003 Kathy Soch |
Diary from a Week in Practice On individualizing treatment goals... Calming parent anxiety over child immunization... etc. |
Nursing March 2009 Kate J. Morse |
Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery. |
American Family Physician April 1, 2001 Joan Bedinghaus |
Coronary Artery Disease Prevention: What's Different for Women? Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk... |
American Family Physician February 15, 2004 |
Diary from a Week in Practice 68 yr old woman undergoes thoracotomy...46 yr old man with primary ciliary dyskinesia...16 yr old pregnant girl...etc. |
American Family Physician April 15, 2006 Mark H. Ebell |
Outpatient vs. Inpatient Treatment of Community-Acquired Pneumonia What is the role of clinical prediction tools in helping physicians decide on inpatient or outpatient treatment for patients with community-acquired pneumonia (CAP)? |
American Family Physician June 15, 2005 Mark H. Ebell |
Decision-Making Tool for Treating Patients with Nonvalvular Atrial Fibrillation What is the risk of stroke in a patient with nonvalvular atrial fibrillation, and should that patient be given warfarin (Coumadin) or aspirin? |
American Family Physician June 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family physician diagnoses a broken leg while walking in the park... Sees two separate sprains with two very different patients... Gives advise on acne to a teen patient with a cold... etc. |
American Family Physician January 15, 2005 David Lyman |
Undiagnosed Vitamin D Deficiency in the Hospitalized Patient Vitamin D deficiency among hospitalized patients may be more widespread than realized. Vague musculoskeletal complaints in these chronically ill patients may be attributed to multiple underlying disease processes rather than a deficiency in vitamin D. |
American Family Physician May 15, 2002 Robert H. Shackelford |
Diary from a Week in Practice Beware the "quiet child!"... It is important for every patient to feel comfortable with their health care professional and to have the choice of who they see... etc. |
American Family Physician September 15, 2002 Robert H. Shackelford |
Diary from a Week in Practice A periodic reminder that we are equipped and able to manage a crisis goes a long way toward a satisfying work environment... Those of us who are healthy should be extremely grateful... Meaningful and reciprocal long-term relationships accompany family practice in a stable population |
American Family Physician April 15, 2003 |
Cholesterol What is cholesterol?... Why is a high cholesterol level unhealthy?... When should I start having my cholesterol level checked?... Are there different kinds of cholesterol?... What can I do to improve my cholesterol level?... etc. |