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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedDetails for This Review Study Population: 11,305 adults from 42 randomized controlled trials comparing a probiotic with placebo, alternative probiotic dose, alternative probiotic strain, or no treatment in patients...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedA 37-year-old woman with a history of hypertension presented with green discoloration of her right first toenail (Figure 1). She noticed the color change two days earlier when an artificial nail fell off. She had nail...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedIn the United States, pneumonia is the most common cause of hospitalization in children. Even in hospitalized children, community-acquired pneumonia is most likely of viral etiology, with respiratory syncytial virus...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedKey Points for Practice * Prophylaxis for Lyme disease is most beneficial for high-risk bites, which include those from an Ixodes tick in an endemic area that was attached for at least 36 hours. * Antibiotic...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedClinical Question Are nonsteroidal anti-inflammatory drug (NSAID) injections as safe and effective as steroid injections for the treatment of trigger finger? Evidence-Based Answer In patients with trigger finger,...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedCase Scenario A 74-year-old man with hypertension, hyperlipidemia, and a body mass index of 35 kg per m2 presented for a physical examination. His primary care physician ordered a basic metabolic profile. The...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedClinical Question How accurate is ultrasonography for diagnosing upper extremity fractures in children? Bottom Line Diagnostic ultrasonography is highly accurate for diagnosing most upper extremity fractures but...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedThe murders of George Floyd and countless other members of the Black community by police prompted family medicine journals and professional societies to publish antiracism statements that provide actions, plans, and...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedClinical Question Are nonpharmacologic treatments effective in decreasing migraine frequency in children and adolescents? Bottom Line Active nonpharmacologic treatments such as biofeedback, relaxation techniques,...
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From:American Family Physician (Vol. 104, Issue 6) Peer-Reviewed8:05 a.m. I received four messages from a patient requesting a medical exemption from the COVID-19 vaccine. The patient has no contraindications to the vaccine, and I have repeatedly counseled her to get vaccinated,...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedWhat are indications for referral to audiology in patients with tinnitus? According to guidelines from the American Academy of Otolaryngology-Head and Neck Surgery, patients should be referred for audiologic...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedOriginal Article: Mifepristone and Misoprostol for Early Pregnancy Loss and Medication Abortion Issue Date: April 15, 2021 See additional reader comments at: https://www.aafp.org/ afp/2021/0415/p473.html To the...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedIt's 2030. Your next patient is Mrs. Jones, a 60-year-old with heart failure. A computer program that simulates human conversation, or a chatbot, scheduled the visit after asking the patient questions and noting that...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedClinical Question Can the neonatal early-onset sepsis calculator safely and accurately evaluate the risk of early-onset sepsis in neonates? Evidence Summary Although early-onset sepsis is a potentially fatal...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedOct. 26, 2021 -- A $100 million investment in the State Loan Repayment Program announced recently by HHS addresses two top AAFP advocacy priorities: bolstering the primary care workforce and improving health equity....
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedCannabis use in the United States is increasing annually in people of all ages. This increase is fueled by state-level legalization, decreased risk perception, and increased social acceptability. Cannabis and its active...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedComprehensiveness of care is one of the cardinal attributes of high-performing primary care. (1) Evidence has shown that more comprehensive care, as measured by the number of services offered, is associated with lower...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedClinical Question Does therapy with virtual reality decrease generalized anxiety in adults? Evidence-Based Answer Virtual reality does not appear to be effective and should not be used in the treatment of...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedClinical Question To what extent does a third dose of the Pfizer-BioNTech vaccine protect against symptomatic illness and hospitalization from COVID-19 in patients 60 years and older? Bottom Line A third booster...
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From:American Family Physician (Vol. 104, Issue 6) Peer-ReviewedThe answer to the simple question "What should we eat?" is remarkably contentious and fraught with strongly held personal beliefs and preferences, as well as substantial financial and disease implications. It is a...