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Aspirin for Primary Prevention
Aspirin reduces the risk of nonfatal myocardial infarction and stroke, and the risk of colorectal cancer. Aspirin increases the risk of gastrointestinal and intracranial bleeding. The best available evidence supports initiating aspirin in select populations. In 2016, the US Preventive Services Task Force recommended initiating aspirin for the primary prevention of both cardiovascular disease and colorectal cancer among adults ages 50 to 59 who are at increased risk for cardiovascular disease. Adults 60 to 69 who are at increased cardiovascular disease risk may also benefit. There remains considerable uncertainty about whet...
Source: Medical Clinics of North America - June 1, 2017 Category: Primary Care Authors: Ilana B. Richman, Douglas K. Owens Source Type: research

Prompting Primary Care Providers about Increased Patient Risk As a Result of Family History: Does It Work?
Conclusions: No change occurred upon instituting simple, at-the-visit family history prompts geared to improve PCPs' ability to identify patients at high risk for 6 common conditions. The results are both surprising and disappointing. Further studies should examine physicians' perception of the utility of prompts for family history risk.
Source: Journal of the American Board of Family Medicine - May 8, 2015 Category: Primary Care Authors: Zazove, P., Plegue, M. A., Uhlmann, W. R., Ruffin, M. T. Tags: Original Research Source Type: research

Health in older women athletes
Physical activity is commonly recognized as healthy behavior and an important part of modern life. A large body of evidence shows that regular physical activity plays a protective role against the development of several conditions, such as cardiovascular disease (hypertension and thromboembolic stroke), type 2 diabetes, osteoporosis, obesity, colon cancer, breast cancer and psychiatric illness (depression and anxiety) [1]. Recently, some evidence has been found concerning a negative correlation between physical activity and cognitive decline among women [2].
Source: Maturitas - September 14, 2014 Category: Primary Care Authors: Blazej Meczekalski, Krzysztof Katulski, Adam Czyzyk, Agnieszka Podfigurna-Stopa Tags: Review Article Source Type: research

Health maintenance in women.
Abstract The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling and contraception as needed, and all women planning or capable of pregnancy should take 400 to 800 mcg of folic acid per day. High-risk sexually active women should be counseled on reducing the risk of sexually transmitted infections, and screened for chlamydia, gonorrhea, and syphilis. All women should be screened for huma...
Source: American Family Physician - January 1, 2013 Category: Primary Care Authors: Riley M, Dobson M, Jones E, Kirst N Tags: Am Fam Physician Source Type: research