Articles

336 Spontaneous Vaginal Delivery

DALE A. PATTERSON, MD; MARGUERITE WINSLOW, MD; and CORAL D. MATUS, MD

Spontaneous vaginal delivery at term is considered the preferred outcome for pregnancy. Management guided by screening tests for group B streptococcus, herpes simplex virus, and human immunodeficiency virus, and knowledge of the normal labor process can increase the probability of an uncomplicated delivery and postpartum course.

Patient information: "Labor and Delivery: What You Should Know," p. 343

347 Radiologic Evaluation of Hematuria: Guidelines from the American College of Radiology's Appropriateness Criteria

PETER L. CHOYKE, MD

Hematuria is often associated with significant urinary tract pathology and is a common reason for urinary tract imaging. The American College of Radiology has developed an Appropriateness Criteria Scale to help physicians determine which imaging modalities are best suited for evaluating patients presenting with hematuria as a symptom.

355 Primary Care Issues in Patients with Mental Illness

BERNADETTE KIRALY, MD; KAREN GUNNING, PharmD, BCPS; and JENNIFER LEISER, MD

Improving the health of patients with mental illness includes pharmacologic treatment, management of comorbidities, and ensuring quality medical care. Patient care should be coordinated between primary care physicians and mental health professionals to prevent medication adverse effects and interactions.

Patient information: "Mental Illness: Taking Care of Yourself," p. 363

Editorial: "Improving Care for Patients with Serious Mental Illness," p. 314

365 Choosing a Skeletal Muscle Relaxant

SHARON SEE, PharmD, BCPS, and REGINA GINZBURG, PharmD

Skeletal muscle relaxants are often prescribed for musculoskeletal conditions. Adverse effects, such as dizziness or drowsiness, are reported with all skeletal muscle relaxants, and the potential for such effects should be communicated clearly to patients. Choice of agent should be based on side-effect profile, patient preference, abuse potential, and possible drug interactions.

Departments

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Keeping Up to Date

373 From the U.S. Preventive Services Task Force

• Counseling About Proper Use of Motor Vehicle Occupant Restraints and Avoidance of Alcohol Use While Driving: Recommendation Statement

387 Tips from Other Journals

401 Practice Guidelines

• ACP Guideline Recommends Diagnosis and Management Strategies for COPD

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Answering Clinical Questions

311 CME Quiz

331 Cochrane for Clinicians

• Arthroscopic Surgery for Knee Osteoarthritis

• Cranberry Products for Treatment of Urinary Tract Infection

379 Photo Quiz

385 FPIN's Clinical Inquiries

• Antiepileptic Drug Level Monitoring

398 Curbside Consultation

• Ethical Considerations of Patients with Pacemakers

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Commentary

299 Inside AFP

308 AFP Journal Club

314 Editorials

• Improving Care for Patients with Serious Mental Illness

316 Letters to the Editor

• Treatment Options for Patients with Bell's Palsy

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Medicine and Society

303 AAFP News Now: AFP Edition

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Patient Information

343 Labor and Delivery

363 Mental Illness

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Reader Services

298 Evidence-Based Medicine Glossary

302 Change-of-Address Form

CME Center

• Search Available CME Courses

403 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 311.

This logo designates clinical content that conforms to AAFP criteria for evidence-based continuing medical education (EB CME). EB CME is clinical content presented with practice recommendations supported by evidence that has been reviewed systematically by an AAFP-approved source.

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