• Articles

    Atypical Moles: Diagnosis and Management

    ALLEN PERKINS, R. LAMAR DUFFY

    Atypical moles are characterized by asymmetry, border irregularity, color unevenness, diameter of 6 mm or more, and evolution. They can be difficult to diagnose because they share some of the same clinical and histologic features of melanoma. Although atypical moles are...

    Nonpharmacologic Management of Hypertension: What Works?

    RUPAL OZA, MIRIAM GARCELLANO

    Nonpharmacologic strategies have been shown to help lower blood pressure, and lifestyle modifications are commonly recommended for patients with hypertension. A diet that emphasizes vegetables, fruits, and whole grains; limiting sodium intake to less than 2,400 mg per day;...

    Sudden Infant Death Syndrome

    STEPHEN M. ADAMS, CHAD E. WARD, KARLA L. GARCIA

    The incidence of sudden infant death syndrome has decreased more than 50% in the past 20 years, largely as a result of the Back to Sleep campaign. The most important risk factors relate to the sleep environment. Parents should place infants on their backs to sleep, should not...

    AAFP News Now: AFP Edition

    AAFP News: AFP Edition

    Physician Groups Urge CMS to Preserve Medicare Beneficiaries' Continuity of Care | Groups Advise House Committee Against Changes to ACIP Processes | Free CME Available for Using HHS' New Opioid Training Tool | New Resource Helps Physicians Encourage Tdap Vaccination for...

    Editorials

    Advice for Protection Against Mosquitoes and Ticks

    JOHNNIE YATES

    The changing epidemiology of vector-borne diseases highlights the importance of personal protective measures, including the use of insect repellents. Family physicians should be knowledgeable about which products are effective and safe.

    Graham Center Policy One-Pager

    Osteopathic Schools Are Producing More Graduates, But Fewer Are Practicing in Primary Care

    KATHLEEN BARNES, STEPHEN PETTERSON, ANDREW BAZEMORE

    The expansion of osteopathic medical schools was to be a boon for underserved areas in need of primary care service. However, the impact has thus far been diminished by the decrease in osteopathic graduates engaged in primary care practice. Policy makers and leaders should...

    Shifting Sources of U.S. Primary Care Physicians

    SUSAN X. LIN, KATHLEEN KLINK, PETER WINGROVE, STEPHEN PETTERSON, ANDREW BAZEMORE

    Trends in the composition of the primary care physician workforce since 2000 show a declining proportion of U.S. allopathic physicians, and increasing proportions of U.S. osteopath physicians and both U.S.-born and foreign-born international graduates.

    Cochrane for Clinicians

    Colchicine for Acute Gout

    NATHAN HITZEMAN, REBECCA STEPHENS

    Low-quality evidence shows that low-dose colchicine (up to 1.8 mg over one hour) is an effective therapy for acute gout.

    Aclidinium for Stable COPD

    AARON SAGUIL

    Aclidinium did not decrease all-cause mortality or exacerbations requiring oral steroids, antibiotics, or both. However, aclidinium decreased the number of patients with exacerbations requiring hospitalization and improved quality of life in those with stable COPD.

    POEMs

    Individualizing Target Goals and Treatment in Patients with Type 2 Diabetes

    ALLEN F. SHAUGHNESSY

    This statement from American and European diabetes societies suggests that tighter control of hyperglycemia be attempted only in patients with a recent diagnosis and a low risk of hypoglycemia; who have a long life expectancy with few or no comorbidities, including...

    Photo Quiz

    Diffuse, Bright-Red Rash with Desquamation and Scaling in an Adult

    JAIVIDHYA DASARATHY, MAHDI AWWAD, CHRISTINE ALEXANDER

    A man presented with fever; chills; and a pruritic, peeling, red rash over his entire body. He also had pain in his hands.

    FPIN's Clinical Inquiries

    Management of Acute Achilles Tendon Rupture

    LUKE MILLER, JACK SPITTLER, MORTEZA KHODAEE, JONATHAN T. BRAVMAN, COREY LYON, LILIAN HOFFECKER

    There are no clear evidence-based criteria to decide which patients should undergo operative vs. nonoperative management of acute Achilles tendon rupture.

    Practice Guidelines

    ACP Provides Guidance on Nonsurgical Treatment of Urinary Incontinence in Women

    LISA HAUK

    The American College of Physicians (ACP) has provided recommendations for nonsurgical treatment of UI in women. Treatment of UI is aimed at achieving, or at least improving, symptoms. It is deemed effective if it reduces the number of episodes by at least one-half.

    U.S. Preventive Services Task Force

    Screening for Thyroid Dysfunction: Recommendation Statement

    The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for thyroid dysfunction in nonpregnant, asymptomatic adults.

    Medicine by the Numbers

    Tight Glycemic Control for Type 2 Diabetes Mellitus (Over Five Years)

    DAVID NEWMAN

    Studies show that none were helped and 1 in 6 patients were harmed. See why.

    Letters to the Editor

    Employment Accommodation Assessments for Pregnant Patients

    CARRIE PIERCE, GABRIELLE deFIEBRE, LINDA PRINE

    Information from Your Family Doctor

    Sudden Infant Death Syndrome (SIDS)

    SIDS is when a baby who seems healthy dies while sleeping. It's the number one cause of death in babies between one month and one year of age.

    How to Lower Your Blood Pressure Without Medicines

    There are many things you can do to lower your blood pressure if you do not want to take medicines.

    Corrections

    Correction

    Incorrect feeding position for infants. The article “Common Questions About Outpatient Care of Premature Infants” (August 15, 2014, p. 244) contained an error in the third sentence of the third paragraph of the evidence summary for the section titled “How Should...



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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