August 1, 2014

Articles

Delirium in Older Persons: Evaluation and Management

VIRGINIA B. KALISH, JOSEPH E. GILLHAM, BRIAN K. UNWIN

Preventive interventions (e.g., frequent reorientation, early and recurrent mobilization, maintenance of normal sleep-wake cycle) have been shown to reduce the incidence of delirium, regardless of the care environment. Treatment should focus on identification and management of…

Common Questions About Late-Term and Postterm Pregnancy

MARY WANG, PATRICIA FONTAINE

Induction at 41 weeks' gestation is associated with small decreases in some fetal and maternal risks without an increased risk of cesarean delivery. However, because the risks of expectant management are low until 42 weeks' gestation, induction can be deferred with antenatal…

Botulinum Toxin Injection for Facial Wrinkles

REBECCA SMALL

Botulinum toxin injection is the most commonly performed cosmetic procedure in the United States. Treatment of frown lines, which is the cosmetic indication approved by the U.S. Food and Drug Administration, as well as horizontal forehead lines and crow's feet, offers…

Editorials

Cosmetic Procedures in Family Medicine

REBECCA SMALL

Office-based cosmetic procedures are in high demand in the United States. Cosmetic procedures are one of the possible ancillary service options for family physicians who enjoy performing procedures and choose to provide aesthetic care for their patients.

AFP News Now - AFP Edition

AAFP News: AFP Edition

Medical Schools Challenged by Increasing Shortage of Clinical Training Sites | Report Urges Collaboration Between Physicians, Patients | MedPAC Proposes New Medicare Payment for Primary Care Physicians | Medical Groups Move to Preempt Exemption for Cigars in Proposed FDA Rule

Cochrane for Clinicians

Effectiveness of Calcium Channel Blockers for Raynaud Phenomenon

DEAN A. SEEHUSEN, JOSEPH HUANG

CCBs are modestly effective at reducing the frequency of attacks of primary Raynaud phenomenon. There is no evidence that attack severity or physiologic measurements are reduced by CCBs. Treatment is associated with adverse effects such as headache, flushing, and edema.

Photo Quiz

Purpura and Cough

RICHARD TEMPLE, NATE HEMERLY

A 21-year-old man presented with fever, cough, arthralgias, and bilateral lower extremity rash and swelling that began 24 hours earlier.

Close-Ups

Another Test in Life

SANAZ MAJD

Testicular cancer has a high survival rate when caught early. A patient diagnosed with the disease reflects on his recovery, and his initial fears.

Practice Guidelines

ACCF and AHA Release Guidelines on the Management of Heart Failure

CARRIE ARMSTRONG

The American College of Cardiology Foundation (ACCF) and American Heart Association (AHA) recently developed guidelines on the diagnosis and treatment of heart failure. The guidelines are based on four progressive stages of heart failure; progression from one stage to the next…

Information from Your Family Doctor

Cosmetic Botulinum Toxin Injection

It is a product used to reduce or get rid of wrinkles. Small amounts of it are injected into specific muscles in the face. This relaxes the muscles, which smoothes wrinkles. Botox, Dysport, and Xeomin are some common forms of botulinum toxin.

Delirium

Delirium is a sudden episode of confusion. It lowers your ability to think clearly, focus, or stay alert. Delirium is usually caused by another illness.

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

Advertising: Career Opportunities (PDF download)

Disclosures

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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