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FPIN's Clinical Inquiries

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FPIN's Help Desk Answers Department Collection - American Family Physician

Help Desk Answers from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=114

FPIN's Help Desk Answers Department Collection - American Family Physician

Help Desk Answers from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=114&page=0

Clinical Inquiries from the Family Practice Inquiries Network - Editorials - American ...

Dec 15, 2003 - ...Clinical Inquiries from the Family Practice Inquiries Network This is a corrected version of the article that appeared in print. JOHN EPLING, M.D., State University of New York–Upstate Medical University, Syracuse, New York BERNARD EWIGMAN, M.D., M.S.P.H., University of Chicago...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1215/p2340.html

Alpha-Lipoic Acid for Treatment of Diabetic Peripheral Neuropathy - FPIN's Help Desk ...

May 1, 2016 - Intravenous (IV) ALA can improve neuropathy symptoms when administered for three weeks, but symptom improvement with oral ALA is not clinically significant. There is no evidence evaluating long-term treatment.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0501/p786.html

Sudden Infant Death Syndrome - - American Family Physician

May 15, 2009 - Sudden infant death syndrome is the leading cause of death among healthy infants, affecting 0.57 per 1,000 live births. The most easily modifiable risk factor for sudden infant death syndrome is sleeping position. To reduce the risk of sudden infant death syndrome, parents should be ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p870.html

Staples vs. Sutures After Cesarean Delivery - FPIN's Help Desk Answers - American ...

Jul 1, 2018 - Patients believe that staples and subcuticular sutures provide similar cosmetic outcomes after cesarean deliveries. However, the risk of wound complications (e.g., infection, separation, hematoma, seroma) is doubled with staples.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0701/p50.html

High-Dose vs. Standard-Dose Heparin for VTE Prophylaxis in Obese Patients - FPIN's Help...

Jun 1, 2018 - In most patients weighing more than 220 lb (100 kg), high-dose heparin prophylaxis (7,500 units subcutaneously three times per day) does not further reduce the risk of VTE compared with standard-dose heparin (5,000 units subcutaneously two or three times per day).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0601/od2.html

Epidural Analgesia and Risk of Cesarean Delivery - FPIN's Help Desk Answers - American ...

Nov 1, 2018 - There is no difference in the risk of cesarean delivery in women who receive epidural analgesia before 4 to 5 cm cervical dilation compared with later dilation.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1101/od2.html

Hormonal Contraceptives in Women Who Are Overweight or Obese - FPIN's Help Desk Answers...

Jun 1, 2017 - Hormonal contraceptives (oral contraceptive pills, implants, patches, and rings) are highly effective in women of all weights.There is no consistently demonstrated increased risk of pregnancy in overweight women using any specific hormonal method of contraception.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0601/p732.html

Health Literacy Tools in the Outpatient Setting - FPIN's Help Desk Answers - American ...

Aug 15, 2017 - Single-question screening tools regarding the need for help with understanding and completing medical forms and reading materials can be effective for detecting inadequate health literacy in the outpatient setting.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0815/p252.html

Antibiotic Prophylaxis in Patients with Cirrhosis and Upper Gastrointestinal Bleeding -...

May 1, 2017 - Antibiotics should be used for prophylaxis in hospitalized patients with cirrhosis and upper gastrointestinal bleeding. Prophylaxis reduces all-cause mortality by 21%, as well as bacterial infections and rebleeding.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0501/p582.html

Therapist-Guided, Internet-Delivered Cognitive Behavior Therapy for Anxiety - FPIN's ...

Oct 1, 2018 - Therapist-guided, Internet-delivered CBT can be used as an effective treatment for anxiety in adults and is similar in effectiveness to face-to-face CBT.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1001/p459.html

Effect of Dietary Changes on IBS Symptoms - FPIN's Help Desk Answers - American Family ...

Sep 1, 2018 - A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0901/od1.html

Treatments for de Quervain Tenosynovitis - FPIN's Help Desk Answers - American Family ...

Jun 15, 2018 - Corticosteroid injections are no better than thumb spica orthoses for decreasing pain in patients with de Quervain tenosynovitis. When combined with orthoses, corticosteroid injections and acupuncture are equally effective for improving function and decreasing pain.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0615/od2.html

Department Collections -- American Family Physician

Jun 13, 2013 - Search Department collections from past and current issues of AFP, the peer-reviewed clinical journal of the American Academy of Family Physicians.

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/explore/departments.html

Treatment Duration for Etonogestrel Implant - FPIN's Help Desk Answers - American ...

Aug 1, 2018 - The etonogestrel subdermal implant is approved by the U.S. Food and Drug Administration for contraception for up to three years, but it seems to be effective for up to five years.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0801/od3.html

Effectiveness of Pneumococcal Vaccines - FPIN's Help Desk Answers - American Family ...

May 1, 2018 - The 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax 23) decreases the relative risk of community-acquired pneumonia in adults by 13%. The risk is reduced by 28% in the population that includes adults older than 65 years, those with lung disease, and those living in a ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od3.html

Effects of Prenatal Yoga on Labor Pain - FPIN's Help Desk Answers - American Family ...

Jul 1, 2018 - Participation in a prenatal yoga program may help reduce labor pain, but reported effects vary from modest to moderate.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0701/p49.html

Primary Closure of Animal Bites - FPIN's Help Desk Answers - American Family Physician

May 1, 2018 - Dog bites can have a primary closure at the time of injury. Primary closure of dog bites does not increase the rate of wound infections compared with nonclosure.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od2.html

Probiotics for Symptoms of Depression and Anxiety - FPIN's Help Desk Answers - American...

Mar 15, 2018 - A combination of three probiotic species slightly improves symptoms in patients with major depressive disorder. Lactobacillus casei alone does not affect depressive symptoms in patients with chronic fatigue syndrome, but it does improve anxiety.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0315/od2.html

Maternal Obesity and Labor Induction - FPIN's Help Desk Answers - American Family ...

May 15, 2018 - Pregnant women who are obese have nearly double the rate of cesarean delivery, and obesity increases the median duration of active labor by up to four hours when labor is induced. The difference in cesarean delivery rate is larger in obese primigravida patients presenting with cervical ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0515/p671.html

NSAIDs for Postpartum Perineal Pain - FPIN's Help Desk Answers - American Family Physician

Jun 1, 2018 - Women with third- or fourth-degree perineal lacerations or who received an episiotomy can be given oral NSAIDs to reduce perineal pain in the first six hours postpartum.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0601/od3.html

Life Expectancy with Hospice Care - FPIN's Help Desk Answers - American Family Physician

Mar 1, 2018 - Patients with terminal lung, pancreatic, or metastatic melanoma receiving hospice care have a minimally increased life expectancy. Receiving at least one day of hospice care may increase life expectancy by up to three months.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0301/od2.html

Short-Term Antipsychotics for Alzheimer Disease - FPIN's Help Desk Answers - American ...

Apr 1, 2018 - Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od2.html

Screening Tools for Unhealthy Alcohol Use - FPIN's Help Desk Answers - American Family ...

Dec 1, 2017 - A single-question alcohol use screen and the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) can be used to detect unhealthy alcohol use and alcohol use disorder. Their performance is similar between sexes and across races.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1201/od2.html

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