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Insomnia, Aspirin During Acute Gastrointestinal Bleeding, Asthma

Key Clinical Questions and Evidence-Based Answers from American Family Physician
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American Family Physician | Clinical Answers
 

Does listening to music improve symptoms of insomnia or sleep problems in adults?

For adults with sleep problems or insomnia, listening to music at bedtime may improve sleep quality, sleep-onset latency, sleep duration, and sleep efficiency. Listening to music may improve anxiety and overall quality of life. Read the full article.

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Should aspirin be continued or discontinued during acute gastrointestinal bleeding?

According to the American College of Gastroenterology and Canadian Association of Gastroenterology, patients should continue taking aspirin for secondary cardiovascular protection when experiencing gastrointestinal bleeding because stopping aspirin does not improve bleeding outcomes and may increase mortality. Because of the little to no benefit of aspirin for primary cardiovascular prevention, stopping aspirin in these patients is recommended with any gastrointestinal bleeding. Read the full article.

What is the first-choice add-on controller medication for patients with asthma whose symptoms are not adequately controlled with an inhaled corticosteroid alone?

Adding a long-acting beta2 agonist to inhaled corticosteroid therapy is preferred over adding long-acting muscarinic antagonists; however, long-acting muscarinic antagonists may be added as triple therapy for severe persistent asthma. Read the full article.

 

❯ ❯ AFP Clinical Answers distills evidence-based answers to clinical questions from AFP content for use at the point of care. Visit our online collection for more.

 

Tip for Using AFP at the Point of Care

Looking for more information about asthma? Check out the collection of AFP’s best content about asthma in AFP by Topic at https://www.aafp.org/afp/asthma. More than 70 topic collections are available at https://www.aafp.org/afp/topics.

 

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Improve clinician-patient experiences with intelligence-infused documentation solutions

Nuance, a Microsoft company, is committed to helping physicians spend less time documenting care and more time practicing medicine. Built on 25 years of robust innovation, Nuance’s award-winning solutions help improve both clinician and patient experiences.

 

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Online access to content in new issues of American Family Physician is restricted to AAFP members and paid subscribers. Free full text is available for selected items. All content of each issue is made freely available about two years after publication. The bulk of the online archives is open to all. For access to all AFP content, you may want to subscribe to the journal or join the AAFP.

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